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Organization

THE LIGHTHOUSE COMMUNITY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BELINDA BERGERON BACHLORS DEGREE (COUNSELOR)
(985) 870-4599
Entity
Organization

Contact information

Practice address
120 RUSTY LANE, HOUMA, LA 70360-0120
(985) 870-4599
Mailing address
120 RUSTY LANE, HOUMA, LA 70360-0120
(985) 870-4599

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
OC24442
LA

Other

Enumeration date
01/26/2016
Last updated
01/26/2016
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