Organization
BEACON HOUSE LLC
Active
Parent organization
BEACON HOUSE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BEACON HOUSE LLC
Authorized official
HOLLY REN'EE JONES (OWNER)
(435) 840-2602
Entity
Organization
Contact information
Practice address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
(435) 255-6150
Mailing address
60 S MAIN ST STE 6, TOOELE, UT 84074-2136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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