| NPI | 1174786701 |
|---|---|
| Former Legal Business Name | LIGHTHOUSE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL LYNN BAKER Administrator 772-466-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 30211217) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |