Organization
BEACON INDUSTRIES INC.
Active
Organization
BEACON INDUSTRIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE COUSIN (DIRECTOR)
(504) 230-9848
Entity
Organization
Contact information
Practice address
2651 POYDRAS ST, SUITE 2411, NEW ORLEANS, LA 70119-7579
(504) 230-9848
(504) 658-4502
Mailing address
2651 POYDRAS ST, SUITE 2411, NEW ORLEANS, LA 70119-7579
(504) 230-9848
(504) 658-4502
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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