Organization
LIGHTHOUSE HOME CARE
Active
Parent organization
LIGHTHOUSE HOME CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE HOME CARE LLC
Authorized official
JACK KOUBI (MANAGING MEMBER)
(337) 230-6008
Entity
Organization
Contact information
Practice address
1830 W UNIVERSITY AVE, LAFAYETTE, LA 70506-2544
(337) 233-1865
(337) 233-1881
Mailing address
1830 W UNIVERSITY AVE, LAFAYETTE, LA 70506-2544
(337) 233-1865
(337) 233-1881
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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