Organization
BEACON SPECIALIZED LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA KAY MANARY LPN (STAFF NURSE / HOUSE MANAGER)
(989) 883-2600
Entity
Organization
Contact information
Practice address
628 E MAIN ST APT 8, SEBEWAING, MI 48759-1698
(989) 883-2600
(989) 883-2601
Mailing address
628 E MAIN ST APT 8, SEBEWAING, MI 48759-1698
(989) 883-2600
(989) 883-2601
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
4703095012
MI
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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