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Organization
THE LIGHTHOUSE ENRICHMENT SERVICES, LLC
Active
Organization
THE LIGHTHOUSE ENRICHMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA LUZ PEREZ (CFO)
(678) 691-3194
Entity
Organization
Contact information
Practice address
2695 SUGARLOAF PKWY STE 1000, LAWRENCEVILLE, GA 30045-9459
(678) 691-3194
Mailing address
2695 SUGARLOAF PKWY STE 1000, LAWRENCEVILLE, GA 30045-9459
(678) 691-3194
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
06/22/2015
Last updated
04/28/2021
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