| NPI | 1598485732 |
|---|---|
| Doing Business As | BEACON OF STRENGTH SUPPORTIVE SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | DONNA R OLSEN Director 218-461-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |