Organization
LIGHTHOUSE SITTING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHANDLER R.N. (OWNER)
(770) 684-1284
Entity
Organization
Contact information
Practice address
40 PEACHTREE RD, ROCKMART, GA 30153-2812
(770) 684-1284
(770) 684-1284
Mailing address
40 PEACHTREE RD, ROCKMART, GA 30153-2812
(770) 684-1284
(770) 684-1284
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
115-R-0004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115-R-0004
HOME CARE LICENSE
GA
Enumeration date
06/20/2005
Last updated
08/22/2020
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