Provider First Line Business Practice Location Address:
BEACON HEALING & WELLNESS, LLC
Provider Second Line Business Practice Location Address:
671 RIVER HIGHLANDS BLVD., SUITE 8
Provider Business Practice Location Address City Name:
COVINGTON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-624-2942
Provider Business Practice Location Address Fax Number:
985-888-1120
Provider Enumeration Date:
02/14/2008