Organization · Type 2 NPI

Beacon Specialized Living Ohio Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Fairborn, OH

NPI number 1265131064 Active

Practice location

1460 Graceland Dr
Fairborn, OH 45324-4374

Call (937) 874-5001 Map

Mailing address

967 Worthington Woods Loop Rd
Worthington, OH 43085-5743

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

8 other providers at this address

Other intellectual and/or developmental disabilities residential treatment facility providers in Fairborn

Beacon Specialized Living Ohio IncIntellectual and/or Developmental Disabilities Residential Treatment Facility Fairborn, OH NPI 1255010070

See all in Fairborn →

NPI record

NPI: 1265131064
Entity type: Organization (Type 2)
Issued: Mar 1, 2023
Last updated: Mar 1, 2023
Status: Active
Subpart: Yes of Keystone Community Resources

Other names

Beacon Services Holdings, Inc. · other name
Beacon Specialized Living · other name

Authorized official

Janet Pell
VP of Ops and Business Development
(614) 330-3073

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About NPI 1265131064

Beacon Specialized Living Ohio Inc's National Provider Identifier is 1265131064, issued on Mar 1, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Fairborn, OH. The record was last updated on Mar 1, 2023.