Organization
LIGHTHOUSE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY SUTTON (ADMINISTRATOR)
(703) 550-1400
Entity
Organization
Contact information
Practice address
8394 G TERMINAL RD, LORTON, VA 22079
(703) 550-1400
(703) 550-8860
Mailing address
PO BOX 1043, 8394 G TERMINAL RD, NEWINGTON, VA 22122-1043
(703) 550-1400
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
01120
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196347
HEALTH KEEPERS PROVIDER #
VA
Enumeration date
07/21/2006
Last updated
08/22/2020
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