| NPI | 1467889873 |
|---|---|
| Doing Business As | BEE-INNOVATIVE @ HOME |
| Entity Type | Organization |
| Authorized Contact | RHONDA RAE TIDWELL Administrator 877-539-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |