Organization
BEACON RESIDENTIAL SERVICES LLC
Active
Organization
BEACON RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAMOND BOONE BOONE (FOUNDER/ ADMINISTRATOR)
(857) 320-1277
Entity
Organization
Contact information
Practice address
229 PROSPECT ST, MANCHESTER, NH 03104-3762
(857) 320-1277
Mailing address
12 PATRICIA ST, WINDHAM, NH 03087-2223
(857) 320-1277
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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