Provider Demographics
NPI:1780409524
Name:BEAU CARE LLC
Entity type:Organization
Organization Name:BEAU CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUSOLEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-620-6322
Mailing Address - Street 1:3946 PACES FERRY RD NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-3008
Mailing Address - Country:US
Mailing Address - Phone:323-620-6322
Mailing Address - Fax:
Practice Address - Street 1:3946 PACES FERRY RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-3008
Practice Address - Country:US
Practice Address - Phone:323-620-6322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care