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Organization
BEACON OF HOPE
Active
Organization
BEACON OF HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN HOLMES (CEO)
(270) 300-9554
Entity
Organization
Contact information
Practice address
125 1ST ST, ELIZABETHTOWN, KY 42701-7818
(270) 300-9554
Mailing address
125 1ST ST, ELIZABETHTOWN, KY 42701-7818
(270) 300-9554
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
02/19/2013
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