Beacon of Hope Recovery LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Fenwick, MI
NPI 1992443055 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1992443055
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- BEACON OF HOPE RECOVERY LLC
- Practice address
- 8681 Vickeryville Road
Fenwick, MI 48834-4883 - Phone
- (989) 330-4484
- NPI assigned
- May 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Jenny E Kipp, DNP, APRN, AGNP-C
- Title
- Contractor
- Phone
- (989) 330-4484
Practitioners 1
-
Jenny E Kipp, DNP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
8681 Vickeryville Road
Fenwick, MI 48834-4883
Mailing address
17193 3 Mile Rd
Morley, MI 49336-9572
Phone (616) 550-4816
Other providers in Fenwick, MI
All providers in Fenwick, MI · Substance Use Disorder Rehabilitation Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. 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.