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Organization
LIGHTHOUSE PRIMARY HOME CARE LLC
Active
Organization
LIGHTHOUSE PRIMARY HOME CARE LLC
Active
Other names
Lighthouse Primary Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMANDO NATIVIDAD (CEO/OWNER)
(210) 444-1825
Entity
Organization
Contact information
Practice address
1716 S SAN MARCOS, SUITE 27, SAN ANTONIO, TX 78207-7094
(210) 444-1825
(210) 223-9128
Mailing address
1716 S SAN MARCOS, SUITE 27, SAN ANTONIO, TX 78207-7094
(210) 444-1825
(210) 223-9128
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
03/19/2012
Last updated
03/20/2012
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