Organization
BEACON HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA GOUGOUGLIAN (OWNER)
(720) 748-7843
Entity
Organization
Contact information
Practice address
1450 S HAVANA ST, # 707, AURORA, CO 80012-4018
(720) 748-7843
Mailing address
1450 S HAVANA ST, # 707, AURORA, CO 80012-4018
(720) 748-7843
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
72983221
CO
261QA0600X
Adult Day Care Clinic/Center
72983221
CO
385H00000X
Respite Care
—
—
Other
Enumeration date
03/03/2016
Last updated
11/02/2016
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