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NPI Code Detail

MEDICARE: DANA A BEECH LLC

MEDICARE: DANA A BEECH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801085930MI

General Provider Information

NPI Number : 1376803098
Entity Type Code : Organization
Provider Name (Legal Business Name) : DANA A BEECH LLC
Provider Business Mailing Address
First Line : 441 SWARTZ CT
Second Line :
City : IONIA
State : MI
Zip : 48846-2157
Country : US
Telephone Number : 616-523-6537
Fax Number :
Provider Business Practice Location Address
First Line : 441 SWARTZ CT
Second Line :
City : IONIA
State : MI
Zip : 48846-2157
Country : US
Telephone Number : 616-523-6537
Fax Number : 616-523-6536
Authorized Official
Title or Position : OWNER
Name : DANA BEECH
Credential :
Telephone Number : 616-523-6537
Provider Enumeration Date : 05/29/2012
Last Update Date : 04/08/2021

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Directions to “DANA A BEECH LLC ” Practice Location

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