Beacon Way 111
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Albany, MO
NPI 1033399407 · NPPES record last updated Nov 13, 2007
Key facts
- NPI
- 1033399407
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- BEACON WAY 111
- Practice address
- 3411 State Highway 85
Albany, MO 64402-8335 - Phone
- (660) 726-3415
- NPI assigned
- Nov 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Marcy S Sorensen
- Title
- Director
- Phone
- (660) 448-3097
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Beacon Way 111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
3411 State Highway 85
Albany, MO 64402-8335
Mailing address
441 North Dr
Marshall, MO 65340-3309
Other providers in Albany, MO
- Acres of Hope, LLC
- Albany Behavioral Health Services
- Albany Behavioral Health Services L.L.C
- Kimberly Marie Allen
- Beacon Way
- Beacon Way II LLC
- Tiffany Bottcher
- Robin Lynn Bourland
- Caring First Home LLC
- Caring First LLC
All providers in Albany, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.