Organization
BEACON IN-HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIE COATS CANNON RN (PRESIDENT)
(828) 879-8217
Entity
Organization
Contact information
Practice address
110 CROSS STREET, RUTHERFORD COLLEGEL, NC 28671-0401
(828) 879-8217
(828) 874-1577
Mailing address
110 CROSS STREET, RUTHERFORD COLLEGE, NC 28671-0401
(828) 879-8217
(828) 874-1577
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
HC2357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408251
—
NC
Enumeration date
11/30/2006
Last updated
08/22/2020
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