Organization
LIGHTHOUSE FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KECHIA BROWN (MANAGER)
(718) 801-8050
Entity
Organization
Contact information
Practice address
97 WYCKOFF AVE, BROOKLYN, NY 11237-2945
(718) 801-8050
(718) 801-8051
Mailing address
97 WYCKOFF AVE, BROOKLYN, NY 11237-2945
(718) 801-8050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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