Provider Demographics
NPI:1740997253
Name:BEEDEES TENDER CARE LLC
Entity type:Organization
Organization Name:BEEDEES TENDER CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLEY
Authorized Official - Middle Name:ELIZA
Authorized Official - Last Name:DAVY BOSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-572-7744
Mailing Address - Street 1:3350 SWEETWATER RD APT 525
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-6569
Mailing Address - Country:US
Mailing Address - Phone:770-572-7744
Mailing Address - Fax:
Practice Address - Street 1:3350 SWEETWATER RD APT 525
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-6569
Practice Address - Country:US
Practice Address - Phone:770-572-7744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care