Organization
LIGHTHOUSE OF COLUMBUS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRENA PATRICK (OWNER)
(706) 442-7783
Entity
Organization
Contact information
Practice address
6634 FORREST RD, COLUMBUS, GA 31907-3037
(706) 442-7783
Mailing address
6634 FORREST RD, COLUMBUS, GA 31907-3037
(706) 442-7783
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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