Beach Bay and Tackle LLC DBA Home Care Provider Service
NPI #1992197412 in Port Arthur, Texas
Provider Information
- NPI Number
- 1992197412
- Entity Type
- Organization
- Organization Name
- Beach Bay and Tackle LLC DBA Home Care Provider Service
- Primary Specialty
- In Home Supportive Care
- Enumeration Date
- Feb 20, 2015
- Last Updated
- Feb 20, 2015
Practice Location
- Address
- 3780 MARTIN LUTHER KING JR DR
- City
- Port Arthur
- State
- Texas
- ZIP Code
- 77640-6862
- Phone
- (409) 782-0332
Authorized Official
- Name
- MICHAEL RYAN ZUMWALT, LVN
- Title
- OWNER
- Phone
- (409) 782-0332
Specialties & Taxonomy Codes
| Specialty |
|---|
| In Home Supportive Care |
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