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.
|Practice Location||3411 State Highway 85, Albany, MO 64402-8335, US|
|Practice Location Phone||660-726-3415|
|Practice Location Fax|
|Legal Business Name||BEACON WAY 111|
|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||Provider Type||Specialization||License||License State|
|Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities|
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/Position||DIRECTOR|
|Authorized Official Phone Number||660-448-3097|