| Beacon House Llc | |
|
60 S Main St Ste 6 Tooele UT 84074-2136 | |
| (435) 255-6150 | |
| Not Available |
| Full Name | Beacon House Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 60 S Main St Ste 6, Tooele, Utah |
| Authorized Official Name and Position | Holly Ren'ee Jones (OWNER) |
| Authorized Official Contact | 4358402602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon House Llc 60 S Main St Ste 6 Tooele UT 84074-2136 Ph: () - | Beacon House Llc 60 S Main St Ste 6 Tooele UT 84074-2136 Ph: (435) 255-6150 |
| NPI Number | 1740094895 |
|---|---|
| Provider Enumeration Date | 02/06/2025 |
| Last Update Date | 02/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740094895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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