# SHEPHERDS LIGHTHOUSE, INC.

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

## Provider details

- **NPI number:** 1770789232
- **Authorized official:** MRS. YOLANDA LYNN EAST (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (352) 347-6575

## Contact information

- **Practice address:** 5930 SE ROBINSON RD, BELLEVIEW, FL 34420-3310
- **Practice address phone:** (352) 347-6575
- **Practice address fax:** (352) 347-1775
- **Mailing address:** 5930 SE ROBINSON RD, BELLEVIEW, FL 34420-3310
- **Mailing address phone:** (352) 347-6575
- **Mailing address fax:** (352) 347-1775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 08/22/2020