# LIGHTHOUSE SUPPORT SERVICES INC.

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

## Provider details

- **NPI number:** 1316665227
- **Authorized official:** SUCDI DAHIR (OWNER)
- **Authorized official phone:** (612) 987-4345

## Contact information

- **Practice address:** 3055 OLD HIGHWAY 8 STE 107, ST ANTHONY, MN 55418-2500
- **Practice address phone:** (612) 987-4345
- **Mailing address:** 3055 OLD HIGHWAY 8 STE 107, ST ANTHONY, MN 55418-2500
- **Mailing address phone:** (612) 987-4345

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2022
- **Last updated:** 08/16/2022