Organization
BEACON OF LIGHT, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY FOSTER (OWNER)
(419) 536-4730
Entity
Organization
Contact information
Practice address
360 S REYNOLDS RD, TOLEDO, OH 43615-5999
(419) 536-4730
(419) 536-4736
Mailing address
360 S REYNOLDS RD, TOLEDO, OH 43615-5999
(419) 536-4730
(419) 536-4736
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
4800979
OH
251E00000X
Home Health Agency
Primary
4800979
OH
253Z00000X
In Home Supportive Care Agency
4800979
OH
Other
Enumeration date
04/20/2009
Last updated
01/29/2015
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