| NPI | 1558862433 |
|---|---|
| Doing Business As | BEAUMONT ACO |
| Entity Type | Organization |
| Authorized Contact | WALTER R. LORANG Executive Director & COO 947-522-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2019-01-10 |