Organization
LIGHTHOUSE COMMUNITY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DY M VANG (OWNER)
(865) 407-3015
Entity
Organization
Contact information
Practice address
118 E NEWKIRK LN, OAK RIDGE, TN 37830-5300
(865) 407-3015
Mailing address
118 E NEWKIRK LN, OAK RIDGE, TN 37830-5300
(865) 407-3015
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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