| Beacon House Llc | |
|
60 S Main St Ste 6 Tooele UT 84074-2136 | |
| (435) 255-6150 | |
| Not Available |
| Full Name | Beacon House Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 60 S Main St Ste 6, Tooele, Utah |
| Authorized Official Name and Position | Holly Jones (OWNER) |
| Authorized Official Contact | 4352556150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon House Llc 60 S Main St Ste 6 Tooele UT 84074-2136 Ph: (435) 255-6150 | Beacon House Llc 60 S Main St Ste 6 Tooele UT 84074-2136 Ph: (435) 255-6150 |
| NPI Number | 1215718697 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215718697 | NPI | - | NPPES |
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