Organization · NPI-2

Bec Personal Care, LLC

In Home Supportive Care · Springfield, IL

NPI number1396346508
StatusActive
Last updated in NPPESNov 4, 2020

Details

NPI
1396346508
Entity type
Organization (NPI-2)
Legal business name
Bec Personal Care, LLC
Organization subpart
No
Enumeration date
Nov 4, 2020
Certification date
Nov 4, 2020
Last updated
Nov 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

3513 Sundance Dr
Springfield, IL 62711-6719

Phone 217-320-4086

Mailing address

3513 Sundance Dr
Springfield, IL 62711-6719

Phone 217-320-4086

Authorized official

Jessica J Dour
Owner
2173204086

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