Organization
LIGHTHOUSE HOME CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER RIDDICK (OWNER)
(252) 217-5574
Entity
Organization
Contact information
Practice address
119 E WATER ST STE 3, PLYMOUTH, NC 27962-1300
(252) 217-5574
Mailing address
1672 LONG RIDGE RD, PLYMOUTH, NC 27962-9760
(252) 217-5574
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
09/10/2020
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