| NPI | 1649160417 |
|---|---|
| Former Legal Business Name | BEACON WOUND CARE, PC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEIGH GRAFF Owner 303-981-1727 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-28 |