Organization
LIGHTHOUSE KIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KRANTS (SECRETARY)
(917) 497-6168
Entity
Organization
Contact information
Practice address
253 CORBIN PL, BROOKLYN, NY 11235-4901
(917) 497-6168
Mailing address
253 CORBIN PL, BROOKLYN, NY 11235-4901
(917) 497-6168
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
04/25/2022
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