Organization
LIGHTHOUSE CONCIERGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAYMUS DANIEL MCTEAGUE (COO)
(860) 857-2567
Entity
Organization
Contact information
Practice address
505 PLEASANT ST, SUITE 206, SAINT JOSEPH, MI 49085-1236
(860) 857-2567
Mailing address
505 PLEASANT ST, SUITE 206, SAINT JOSEPH, MI 49085-1236
(860) 857-2567
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L1805
MI
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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