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Organization
LIGHTHOUZ HOME HEALTH CARE LLC
Active
Organization
LIGHTHOUZ HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEQUOIA FONSECA LPN (DIRECTOR)
(407) 952-5471
Entity
Organization
Contact information
Practice address
6418 SEABURY WAY, ORLANDO, FL 32818-1750
(407) 720-9682
Mailing address
6418 SEABURY WAY, ORLANDO, FL 32818-1750
(407) 720-9682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104342000
—
FL
Enumeration date
04/13/2020
Last updated
04/13/2020
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