Organization
LIGHTHOUSE RESIDENTIAL CARE HOME LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA WILLIAMS RN (NURSE MANAGER)
(678) 207-8397
Entity
Organization
Contact information
Practice address
165 LENOX CT, HIRAM, GA 30141-4563
(678) 207-8397
Mailing address
165 LENOX CT, HIRAM, GA 30141-4563
(678) 207-8397
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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