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Organization
LIGHTHOUSE HOME HEALTH CARE INC.
Active
Organization
LIGHTHOUSE HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRYSTAL FASSOLD (ADMINISTRATOR)
(772) 466-9199
Entity
Organization
Contact information
Practice address
1805 S 25TH ST STE 1, FORT PIERCE, FL 34947-4752
(772) 466-9199
Mailing address
1805 S 25TH ST STE 1, FORT PIERCE, FL 34947-4752
(772) 466-9199
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NR30211217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691195196
—
FL
Enumeration date
02/20/2007
Last updated
08/13/2008
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