Organization Name: | BEECH DEVELOPMENT CORP |
NPI Number: | 1598005886 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK S JUDD (PRESIDENT) |
Mailing Address: | 3380 Monroe Ave Ste 112 Rochester |
State: | NY US |
Postal Code: | 146184726 |
Phone Number: | 5853815439 |
Fax Number: | 8883500210 |
NPI Enumeration Date: | 02/22/2013 |
NPI Last Update Date: | 12/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | LHCSA-2226-L001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |