Beacon

NPI #1033593488 in Rosedale, New York

Provider Information

NPI Number
1033593488
Entity Type
Organization
Organization Name
Beacon
Primary Specialty
In Home Supportive Care
Enumeration Date
Jul 15, 2015
Last Updated
Jul 15, 2015

Practice Location

Address
14838 HUXLEY ST
ZIP Code
11422-2720
Phone
(917) 750-4929

Authorized Official

Name
LORRAINE L BEATON-FUNG, BS/CDN/CLC
Title
NUTRITIONIST
Phone
(917) 750-4929

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
In Home Supportive Care

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