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Organization

LIGHTHOUSE HOME MEDICAL

Active
Parent organization
LIGHTHOUSE EQUIPMENT MANAGMENT SERVICE AND REPAIR
Organization subpart
Yes

Provider details

NPI number
Legal business name
LIGHTHOUSE EQUIPMENT MANAGMENT SERVICE AND REPAIR
Authorized official
MR. FRED L COX (OWNER)
(386) 738-1770
Entity
Organization

Contact information

Practice address
3281 MARSH RD, DELAND, FL 32724-9016
(386) 738-1770
(386) 740-7523
Mailing address
3281 MARSH RD, DELAND, FL 32724-9016
(386) 738-1770
(386) 740-7523

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/06/2008
Last updated
02/06/2008
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