Organization
LIGHTHOUSE HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OGECHUKWU EZECHUKWU (OWNER)
(202) 294-7522
Entity
Organization
Contact information
Practice address
615 SAINT GEORGE SQUARE CT STE 300, WINSTON SALEM, NC 27103-1368
(202) 294-7522
Mailing address
615 SAINT GEORGE SQUARE CT STE 300, WINSTON SALEM, NC 27103-1368
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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