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Beacon Way 111

Beacon Way 111 is a health care provider in Marshall, MO. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 3411 State Highway 85, Albany, MO 64402-8335, US
Practice Location Phone660-726-3415
Practice Location Fax
Legal Business NameBEACON WAY 111
NPI ?1033399407
Entity TypeOrganization
Enumeration Date ? Nov 13, 2007
Last Update Date ? Nov 13, 2007
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Beacon Way 111

SpecialtySpecializationLicenseLicense State
Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

official-icon Authorized Official of Beacon Way 111

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Beacon Way 111's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Marcy S Sorensen
Authorized Official Title/PositionDIRECTOR
Authorized Official Phone Number660-448-3097