Organization
LIGHTHOUSE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA R BYRDSONG (OWNER)
(804) 901-9777
Entity
Organization
Contact information
Practice address
9612 TELEGRAPH RD, GLEN ALLEN, VA 23060-2309
(804) 901-9777
Mailing address
9612 TELEGRAPH RD, GLEN ALLEN, VA 23060-2309
(804) 901-9777
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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