Organization
BEACON HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY COSTELLO (CFO)
(574) 647-3460
Entity
Organization
Contact information
Practice address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1070
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-1070
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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