Organization
LIGHT HOUSE GROUP HOME LLC
Active
Other names
Nova108 Outpatient
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF PRESUTTI (OWNER/CEO)
(480) 332-0385
Entity
Organization
Contact information
Practice address
108 E 2ND AVE STE 101, MESA, AZ 85210-1410
(480) 200-1437
Mailing address
108 E 2ND AVE, MESA, AZ 85210-1410
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us