| NPI | 1992459697 |
|---|---|
| Doing Business As | BEACH ECLNIC |
| Entity Type | Organization |
| Authorized Contact | ERIKA COOK Owner/Provider 757-828-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-02-10 |