# LIGHTHOUSE LIVING SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073822318
- **Authorized official:** MR. TABIAS CHRISTOPHER COWAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (916) 454-4381

## Contact information

- **Practice address:** 3600 POWER INN RD, SUITE H1, SACRAMENTO, CA 95826-3826
- **Practice address phone:** (916) 454-4381
- **Practice address fax:** (916) 454-1497
- **Mailing address:** 3600 POWER INN RD, SUITE H1, SACRAMENTO, CA 95826-3826
- **Mailing address phone:** (916) 454-4381
- **Mailing address fax:** (916) 454-1497

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2010
- **Last updated:** 10/05/2010