Organization
LIGHTHOUSE HOMECARE ASSISTANCE LLC
Active
Other names
LightHouse HomeCare Assistance LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AIREONA IYON GREEN (CEO)
(313) 618-8646
Entity
Organization
Contact information
Practice address
1509 PHILADELPHIA AVE SE, GRAND RAPIDS, MI 49507-2235
(313) 618-8646
Mailing address
1509 PHILADELPHIA AVE SE, GRAND RAPIDS, MI 49507-2235
(313) 618-8646
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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