Whalio Doctors

NPI 1013615269

Beacon Specialized Living New Jersey, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Kalamazoo, MI

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
Residential Treatment Facilities Taxonomy 320900000X

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.