Organization
LIGHTHOUSE FOR ALL PEOPLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY D STAFFORD (CHAIRPERSON)
(704) 241-1163
Entity
Organization
Contact information
Practice address
8900 FUSCHIA CT, CHARLOTTE, NC 28215-9420
(704) 241-1163
Mailing address
8900 FUSCHIA CT, CHARLOTTE, NC 28215-9420
(704) 241-1163
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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