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Organization
LIGHTHOUSE HOMECARE ASSISTANCE LLC
Active
Organization
LIGHTHOUSE HOMECARE ASSISTANCE LLC
Active
Other names
LightHouse HomeCare Assistance LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AIREONA IYON GREEN (CEO)
(313) 618-8646
Entity
Organization
Contact information
Practice address
1509 PHILADELPHIA AVE SE, GRAND RAPIDS, MI 49507-2235
(313) 618-8646
Mailing address
1509 PHILADELPHIA AVE SE, GRAND RAPIDS, MI 49507-2235
(313) 618-8646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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