Organization
BEACON HARBOR HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRIDGET A WETHERELL (ACCOUNTANT)
(989) 792-1888
Entity
Organization
Contact information
Practice address
3124 KOCHVILLE RD, SUITE 110, SAGINAW, MI 48604-9303
(989) 792-1888
(989) 792-1851
Mailing address
3689 FASHION SQUARE BLVD., STE 1, SAGINAW, MI 48603
(989) 792-1888
(989) 792-1851
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
03/28/2018
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