Organization
LIGHTHOUSE POINT SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA DELORME (REGISTERED AGENT)
(732) 674-5475
Entity
Organization
Contact information
Practice address
315 EASTERN BLVD, BAYVILLE, NJ 08721-2963
(732) 674-5475
Mailing address
315 EASTERN BLVD, BAYVILLE, NJ 08721-2963
(732) 674-5475
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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