Organization
PLACE OF GRACE LLC
Active
Other names
Lighthouse Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOROTHEA WILSON (CEO)
(989) 673-2500
Entity
Organization
Contact information
Practice address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
(989) 673-0232
Mailing address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
(989) 673-0232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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