Organization
SHEPHERDS LIGHTHOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOLANDA LYNN EAST (EXECUTIVE DIRECTOR)
(352) 347-6575
Entity
Organization
Contact information
Practice address
5930 SE ROBINSON RD, BELLEVIEW, FL 34420-3310
(352) 347-6575
(352) 347-1775
Mailing address
5930 SE ROBINSON RD, BELLEVIEW, FL 34420-3310
(352) 347-6575
(352) 347-1775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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