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Organization

LIGHTHOUSE HOME HEALTH

Active
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Organization

LIGHTHOUSE HOME HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH WEAVER (ADMINISTRATOR)
(801) 562-2273
Entity
Organization

Contact information

Practice address
6794 S 1300 E, COTTONWOOD HEIGHTS, UT 84121-2721
(801) 562-2273
Mailing address
6794 S 1300 E, COTTONWOOD HEIGHTS, UT 84121-2721
(801) 562-2273

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
UT

Other

Enumeration date
12/20/2010
Last updated
12/20/2010
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