Organization
BEACON OF HOPE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY E KIPP DNP, APRN, AGNP-C (CONTRACTOR)
(989) 330-4484
Entity
Organization
Contact information
Practice address
8681 VICKERYVILLE ROAD, FENWICK, MI 48834-4883
(989) 330-4484
Mailing address
17193 3 MILE RD, MORLEY, MI 49336-9572
(616) 550-4816
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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