Organization
LIGHT HOUSE DAY SUPPORT SERVICES LLC
Active
Organization
LIGHT HOUSE DAY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY CORIOLAN (OWNER)
(804) 301-2928
Entity
Organization
Contact information
Practice address
2030 CADILLAC TRL, NORTH CHESTERFIELD, VA 23236-1818
(804) 301-2928
Mailing address
2030 CADILLAC TRL, NORTH CHESTERFIELD, VA 23236-1818
(804) 301-2928
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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