| NPI | 1083421788 |
|---|---|
| Doing Business As | CARRIE'S LIGHTHOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | KELLY PRIGMORE Manager 330-475-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |