Organization
LIGHTHOUSE COMPANION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK JAMES RACCIO JR. (EXECUTIVE DIRECTOR)
(860) 395-2990
Entity
Organization
Contact information
Practice address
129 MAIN ST, OLD SAYBROOK, CT 06475-2377
(860) 395-2990
(860) 388-4300
Mailing address
129 MAIN ST, OLD SAYBROOK, CT 06475-2377
(860) 395-2990
(860) 388-4300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
01/19/2023
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