Organization
LIGHTHOUSE HEALTHCARE FACILITIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BULLARD-MANUEL (SECRETARY)
(706) 315-7723
Entity
Organization
Contact information
Practice address
6450 SCHOMBURG RD, COLUMBUS, GA 31909-3449
(706) 392-1866
(706) 221-9206
Mailing address
6450 SCHOMBURG RD, COLUMBUS, GA 31909-3449
(706) 392-1866
(706) 221-9206
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
AC000201
GA
Other
Enumeration date
03/26/2018
Last updated
08/17/2018
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