Organization
SO LIGHTHOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JAMES SMITH (CEO)
(661) 478-6550
Entity
Organization
Contact information
Practice address
43118 SUGAR ST, LANCASTER, CA 93536-6700
(661) 478-6550
Mailing address
43118 SUGAR ST, LANCASTER, CA 93536-6700
(661) 478-6550
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201812310446
STATE OF CALIFORNIA
CA
Enumeration date
08/28/2018
Last updated
08/28/2018
About Stedi
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