Organization
LIGHTHOUSE PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NUTT (MANAGER)
(210) 870-8891
Entity
Organization
Contact information
Practice address
109 OAK HOLLOW DR, LA VERNIA, TX 78121-5856
(210) 870-8891
Mailing address
109 OAK HOLLOW DR, LA VERNIA, TX 78121-5856
(210) 870-8891
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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