NPI 1013615269
Beacon Specialized Living New Jersey, INC.
Practice location
- Address
- 890 N 10th St, Kalamazoo, MI 49009-6192
- Phone
- (269) 427-8400
Authorised official
- Name
- Darren Hodgdon
- Title
- Chief Executive Officer
- Phone
- (269) 427-8400
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1013615269
- Entity type
- Organization
- NPI issued
- 17 Feb 2023
- Record last updated
- 2 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.