Organization
BEACON OF LIGHT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA KENDLE (MANAGER)
(219) 292-7555
Entity
Organization
Contact information
Practice address
2424 FRANKLIN ST # 203, MICHIGAN CITY, IN 46360-4562
(219) 292-7555
(219) 814-4941
Mailing address
2424 FRANKLIN ST # 203, MICHIGAN CITY, IN 46360-4562
(219) 292-7555
(219) 814-4941
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055484
—
IN
Enumeration date
02/11/2022
Last updated
12/30/2025
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