Organization
BEACON STAFFING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN UCKELE RN (PRESIDENT)
(734) 848-2400
Entity
Organization
Contact information
Practice address
10552 EVANS DR, UNIT 8, LUNA PIER, MI 48157-9828
(734) 848-2400
(734) 848-2411
Mailing address
10552 EVANS DR, UNIT 8, LUNA PIER, MI 48157-9828
(734) 848-2400
(734) 848-2411
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
4704250553
MI
251J00000X
Nursing Care Agency
RN.319121
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00737R
STATE INCORPORATION
MI
Enumeration date
05/02/2007
Last updated
08/22/2020
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