Organization
BEACON SPECIALIZED LIVING OHIO INC
Active
Parent organization
KEYSTONE COMMUNITY RESOURCES, INC.
Other names
Beacon Specialized Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEYSTONE COMMUNITY RESOURCES, INC.
Authorized official
JANET L PELL (VP OF OPS/BIZ DEVELOPMENT)
(614) 330-3073
Entity
Organization
Contact information
Practice address
2039 LAKEVIEW DR STE 110, XENIA, OH 45385-1004
(614) 330-3073
Mailing address
967 WORTHINGTON WOODS LOOP RD, WORTHINGTON, OH 43085-5743
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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