Organization
LIGHTHOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS ATKINS (CFO)
(989) 673-2500
Entity
Organization
Contact information
Practice address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
(989) 673-3356
Mailing address
PO BOX 289, 1655 E CARO RD, CARO, MI 48723-0289
(989) 673-2500
(989) 673-3356
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990686
HEALTH PLUS
MI
01
—
30744
BLUE CROSS PROVIDER NUMBE
MI
Enumeration date
11/02/2006
Last updated
10/13/2020
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