| Organization Name: | BEAUVAIS HOME CARE LLC |
| NPI Number: | 1164808358 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWANDA WORTHY (ADMINISTRATOR) |
| Mailing Address: | 1400 Commerce Blvd Suite 11 Anniston |
| State: | AL US |
| Postal Code: | 362079451 |
| Phone Number: | 7706528317 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2015 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |