NPI | 1710107313 |
---|---|
Doing Business As | THE REACH CORPORATION |
Doing Business As | BEVERLY PLACE |
Entity Type | Organization |
Authorized Contact | LAILA BEAVEN Registered Agent 270-389-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK 200001110B) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2022-12-21 |