NPI 1265028971
Beacon Health Ventures INC
Practice location
- Address
- 3355 Douglas Rd, South Bend, IN 46635-1779
- Phone
- (574) 647-8675
- Fax
- (574) 647-8764
Authorised official
- Name
- Trudy Kay Wait
- Title
- Pharmacy Manager
- Phone
- (574) 647-8674
Registered specialties (2)
Home Infusion Agency
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1265028971
- Entity type
- Organization
- NPI issued
- 16 Dec 2020
- Record last updated
- 11 Jan 2021
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.