# LIGHTHOUSE OF BROWARD COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lighthouse of Broward
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932336187
- **Authorized official:** DR. ELLY DU PRE DPA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (954) 463-4217

## Contact information

- **Practice address:** 650 N ANDREWS AVE, FORT LAUDERDALE, FL 33311-7436
- **Practice address phone:** (954) 463-4217
- **Practice address fax:** (954) 764-3825
- **Mailing address:** 650 N ANDREWS AVE, FORT LAUDERDALE, FL 33311-7436
- **Mailing address phone:** (954) 463-4217
- **Mailing address fax:** (954) 764-3825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | FL | Yes |

## Other

- **Enumeration date:** 06/15/2009
- **Last updated:** 06/15/2009