# LIGHTHOUSE AFCH

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

## Provider details

- **NPI number:** 1447765177
- **Authorized official:** ALEX BELLAMY (OWNER)
- **Authorized official phone:** (850) 600-7082

## Contact information

- **Practice address:** 739 EAST BLVD, CHIPLEY, FL 32428-2026
- **Practice address phone:** (850) 600-7082
- **Mailing address:** 739 EAST BLVD, CHIPLEY, FL 32428-2026
- **Mailing address phone:** (850) 600-7082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6906928 | FL | Yes |

## Other

- **Enumeration date:** 12/04/2017
- **Last updated:** 12/04/2017
