Organization
LIGHTHOUSE HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT MCNAB (OWNER)
(563) 441-9982
Entity
Organization
Contact information
Practice address
3565 UTICA RIDGE RD, BETTENDORF, IA 52722-1654
(563) 441-9982
(563) 424-1016
Mailing address
3565 UTICA RIDGE RD, BETTENDORF, IA 52722-1654
(563) 441-9982
(563) 424-1016
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
4000444
IL
253Z00000X
In Home Supportive Care Agency
Primary
3001105
IL
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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