Organization
BEACON SPECIALIZED LIVING OHIO INC
Active
Parent organization
KEYSTONE COMMUNITY RESOURCES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEYSTONE COMMUNITY RESOURCES, INC.
Authorized official
JANET PELL (VP OF OPS/BIZ DEVELOPMENT)
(614) 330-3073
Entity
Organization
Contact information
Practice address
1293 REDBUD DR, FAIRBORN, OH 45324-5834
(937) 874-5001
Mailing address
967 WORTHINGTON WOODS LOOP RD, WORTHINGTON, OH 43085-5743
(614) 330-3073
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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