Organization
LUMICARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS)
(215) 836-3131
Entity
Organization
Contact information
Practice address
620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1810
(215) 836-3131
(215) 273-5975
Mailing address
620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1810
(215) 836-3131
(215) 273-5975
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
—
231HA2400X
Assistive Technology Practitioner Audiologist
—
—
231HA2500X
Assistive Technology Supplier Audiologist
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
11/11/2020
Last updated
12/19/2023
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