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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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