Beaconway Isl I, LLC
Beaconway Isl I, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Marshall, Missouri. Registered with an NPI since 2008.
- In the registry since
- 2008
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2606 Villa CtMarshall, MO 65340-9711
Phone: (660) 229-0175
Fax: (660) 831-1189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1982872149 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ben Rogers — President · (660) 726-3415 |
| NPI enumerated | February 11, 2008 |
| Last updated in NPPES | February 26, 2008 |
| Mailing address | 2606 Villa Ct, Marshall, MO 65340-9711 |
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