Organization
LIGHTHOUSE HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE R MOORE (CHIEF ADMINISTRATIVE OFFICER)
(857) 331-6271
Entity
Organization
Contact information
Practice address
200 LAKE DR E STE 205, CHERRY HILL, NJ 08002
(856) 414-1155
(856) 414-1313
Mailing address
500 FAULCONER DR STE 200, CHARLOTTESVILLE, VA 22903-5089
(434) 977-9711
(434) 235-4142
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7253800
—
NJ
Enumeration date
04/05/2006
Last updated
04/21/2025
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