# BEACON HEALTH VENTURES MICHIGAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578619078
- **Authorized official:** SANDRA L SMIGIELSKI (MANAGER)
- **Authorized official phone:** (574) 647-8731

## Contact information

- **Practice address:** 69045 M-62, SUITE A-1, EDWARDSBURG, MI 49112
- **Practice address phone:** (269) 663-2201
- **Practice address fax:** (269) 663-2209
- **Mailing address:** 3355 DOUGLAS ROAD, SOUTH BEND, IN 46635
- **Mailing address phone:** (574) 647-8731
- **Mailing address fax:** (574) 647-8768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 02/16/2018