Organization
LIGHTHOUSE LIVING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TABIAS CHRISTOPHER COWAN (EXECUTIVE DIRECTOR)
(916) 454-4381
Entity
Organization
Contact information
Practice address
3600 POWER INN RD, SUITE H1, SACRAMENTO, CA 95826-3826
(916) 454-4381
(916) 454-1497
Mailing address
3600 POWER INN RD, SUITE H1, SACRAMENTO, CA 95826-3826
(916) 454-4381
(916) 454-1497
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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