Organization
LIGHTHOUSE HHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE OUTLAW (CEO)
(818) 660-2245
Entity
Organization
Contact information
Practice address
10545 BURBANK BLVD # 117A, NORTH HOLLYWOOD, CA 91601-2245
(818) 660-2245
Mailing address
10545 BURBANK BLVD # 117A, NORTH HOLLYWOOD, CA 91601-2245
(818) 660-2245
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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