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Beacon Specialized Living New Jersey, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kalamazoo, Michigan
NPI 1013615269

Beacon Specialized Living New Jersey, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kalamazoo, MI. Beacon Specialized Living New Jersey, Inc. practices in Kalamazoo, MI. The NPI Number for Beacon Specialized Living New Jersey, Inc. is 1013615269 and holds a License No. (Michigan).

The current practice location address for Beacon Specialized Living New Jersey, Inc. is 890 N 10Th St, Kalamazoo, MI and can be reached out via phone at 269-427-8400.

Location: 890 N 10Th St, Kalamazoo, MI, 49009-6192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013615269
Provider Name
Beacon Specialized Living New Jersey, Inc.
Credential
Provider Entity Type
Organization
Address
890 N 10Th St, Kalamazoo, MI, 49009-6192
Phone Number
269-427-8400
Fax Number
Provider Enumeration Date
02/17/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0450858187 05 MI
institution
Provider Business Practice Location Address Details
Address
890 N 10Th St
City
Kalamazoo
State
Michigan
Zip
49009-6192
Phone Number
269-427-8400
Fax Number
person
Provider Business Mailing Address Details
Address
890 N 10Th St
City
Kalamazoo
State
Michigan
Zip
49009-6192
Phone Number
269-427-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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