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Organization
LIGHTHOUSE PROFESSIONAL STAFFING, INC.
Active
Organization
LIGHTHOUSE PROFESSIONAL STAFFING, INC.
Active
Parent organization
LIGHTHOUSE STAFFING/CONSULTING
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE STAFFING/CONSULTING
Authorized official
MYRTIS D. MANIGO (PRESIDENT/CEO)
(803) 782-1008
Entity
Organization
Contact information
Practice address
4500 FORT JACKSON BLVD, COLUMBIA, SC 29209-1119
(803) 782-1008
Mailing address
4500 FORT JACKSON BLVD, COLUMBIA, SC 29209-1119
(803) 782-1008
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EX1000
PERSONAL CARE PROVIDERS
SC
Enumeration date
11/05/2014
Last updated
11/05/2014
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