Organization
LIGHTHOUSE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADDIE DIEKMANN (OWNER, PRESIDENT)
(816) 718-0535
Entity
Organization
Contact information
Practice address
455 SAM BARR DR STE 104, KEARNEY, MO 64060-9104
(816) 718-0535
Mailing address
455 SAM BARR DR STE 104, KEARNEY, MO 64060-9104
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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