Organization
LIGHTHOUSE MINISTRIES PROVIDER CARE SERVICE, INC.
Active
Parent organization
CHURCH IN JESUS CHRIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHURCH IN JESUS CHRIST
Authorized official
MRS. KAREN WATKINS BEANER RN (PROGRAM DIRECTOR)
(318) 688-4260
Entity
Organization
Contact information
Practice address
7505 PINES RD, SUITE # 1170, SHREVEPORT, LA 71129-3935
(318) 688-4260
Mailing address
7505 PINES RD, SUITE # 1170, SHREVEPORT, LA 71129-3935
(318) 688-4260
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
46701
LA
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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