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Beacon Specialized Living Ohio Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fairborn, Ohio
NPI 1265131064

Beacon Specialized Living Ohio Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Worthington, OH. Beacon Specialized Living Ohio Inc practices in Fairborn, OH. The NPI Number for Beacon Specialized Living Ohio Inc is 1265131064 and holds a License No. (Ohio).

The current practice location address for Beacon Specialized Living Ohio Inc is 1460 Graceland Dr, Fairborn, OH and can be reached out via phone at 937-874-5001.

Location: 1460 Graceland Dr, Fairborn, OH, 43085-5743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265131064
Provider Name
Beacon Specialized Living Ohio Inc
Credential
Provider Entity Type
Organization
Address
1460 Graceland Dr, Fairborn, OH, 43085-5743
Phone Number
937-874-5001
Fax Number
Provider Enumeration Date
03/01/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2916025 01 OH OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
institution
Provider Business Practice Location Address Details
Address
1460 Graceland Dr
City
Fairborn
State
Ohio
Zip
45324-4374
Phone Number
937-874-5001
Fax Number
person
Provider Business Mailing Address Details
Address
1460 Graceland Dr
City
Fairborn
State
Ohio
Zip
45324-4374
Phone Number
937-874-5001
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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