Provider Demographics
NPI:1871105924
Name:BEEZWAY INC
Entity type:Organization
Organization Name:BEEZWAY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LONI
Authorized Official - Middle Name:V
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-903-1199
Mailing Address - Street 1:6020 PORTICO DR APT 1523
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4189
Mailing Address - Country:US
Mailing Address - Phone:817-903-1199
Mailing Address - Fax:
Practice Address - Street 1:6020 PORTICO DR APT 1523
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4189
Practice Address - Country:US
Practice Address - Phone:817-903-1199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility