Organization
LIGHTHOUSE COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN THOMAS III (CEO/PRESIDENT)
(225) 937-6201
Entity
Organization
Contact information
Practice address
921 N LOBDELL AVE, SUITE C1, BATON ROUGE, LA 70806
(225) 937-6201
Mailing address
PO BOX 74462, BATON ROUGE, LA 70874-4462
(225) 937-6201
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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