# LIGHTHOUSE HOME MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIGHTHOUSE EQUIPMENT MANAGMENT SERVICE AND REPAIR
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295913846
- **Legal business name:** LIGHTHOUSE EQUIPMENT MANAGMENT SERVICE AND REPAIR
- **Authorized official:** MR. FRED L COX (OWNER)
- **Authorized official phone:** (386) 738-1770

## Contact information

- **Practice address:** 3281 MARSH RD, DELAND, FL 32724-9016
- **Practice address phone:** (386) 738-1770
- **Practice address fax:** (386) 740-7523
- **Mailing address:** 3281 MARSH RD, DELAND, FL 32724-9016
- **Mailing address phone:** (386) 738-1770
- **Mailing address fax:** (386) 740-7523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 02/06/2008