Organization
LIGHTHOUSE KIDS OOLTEWAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF WEST (CEO)
(615) 376-4863
Entity
Organization
Contact information
Practice address
5423 LITTLE DEBBIE PKWY., SUITE 106, OOLTEWAH, TN 37363
(833) 392-0071
Mailing address
7209 HALEY INDUSTRIAL DR STE 220, NOLENSVILLE, TN 37135-9672
(615) 376-4863
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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