Organization
LIGHTHOUSE DEVELOPMENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA HAMMETT (OWNER)
(910) 624-9884
Entity
Organization
Contact information
Practice address
690 N REILLY RD, FAYETTEVILLE, NC 28303-5724
(910) 624-9884
Mailing address
3566 ROLLS AVE, FAYETTEVILLE, NC 28311-2424
(910) 624-9884
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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