Organization
LIGHTHOUSE FAMILY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN A MATTHEWS MBA (PRESIDENT)
(407) 405-2724
Entity
Organization
Contact information
Practice address
14804 AVENUE OF THE GRVS, 11107, WINTER GARDEN, FL 34787-8738
(407) 405-2724
Mailing address
14804 AVENUE OF THE GRVS, 11107, WINTER GARDEN, FL 34787-8738
(407) 405-2724
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
05/08/2013
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