Beacon of Light House

NPI #1063112746 in Fargo, North Dakota

Provider Information

NPI Number: 1063112746
Entity Type: Organization
Organization Name: Beacon of Light House
Primary Specialty: Case Management
Enumeration Date: Mar 9, 2023
Last Updated: Feb 18, 2025

Practice Location

Address: 111 9TH ST S
City: Fargo
State: North Dakota
ZIP Code: 58103-1831
Phone: (701) 893-8498

Authorized Official

Name: DALE WOLF
Title: DIRECTOR OF OPERATIONS
Phone: (701) 361-9922

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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