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Organization

LIGHTHOUSE CARE TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DJOVANNY THERASSE (OWNER)
(516) 709-7704
Entity
Organization

Contact information

Practice address
250 PIOXI ST, COPIAGUE, NY 11726-2130
(516) 709-7704
Mailing address
250 PIOXI ST, COPIAGUE, NY 11726-2130
(516) 709-7704

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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