Organization
LIGHT HOUSE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTICE DEZIRAE DOUGLAS (OWNER)
(702) 884-6266
Entity
Organization
Contact information
Practice address
730 W CHEYENNE AVE STE 60, NORTH LAS VEGAS, NV 89030-7850
(702) 633-7923
Mailing address
5732 SALT ROCK ST, NORTH LAS VEGAS, NV 89031-1326
(702) 884-6266
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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