Bealls Corporation
Organization Active NPI In Home Supportive Care Agency · Jacksonville, TX
NPI 1306124169 · NPPES record last updated Jul 28, 2011
Key facts
- NPI
- 1306124169
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- BEALLS CORPORATION
- Practice address
- 905 Edgewood Dr
Jacksonville, TX 75766-2705 - Phone
- (903) 721-4790
- NPI assigned
- Jul 28, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeremy Ray Beall
- Title
- President/Director
- Phone
- (903) 721-4790
National Provider Directory
Locations
402 S Ragsdale St
Ste 203
Jacksonville, TX 75766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | TX | Yes |
Addresses
Primary practice location
905 Edgewood Dr
Jacksonville, TX 75766-2705
Mailing address
402 S Ragsdale St
Suit 203
Jacksonville, TX 75766-4993
Phone (903) 721-4790
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- Michael Glenn Beard
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All providers in Jacksonville, TX · In Home Supportive Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.