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1316505753
LIGHT HOUSE GROUP HOME LLC
MESA, AZ
NPI
1316505753
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Entity Type
Organization
Authorized Contact
JEFF PRESUTTI
CEO
480-332-0385
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
LIGHT HOUSE GROUP HOME LLC
108 E 2ND AVE
MESA, AZ 85210-1410
Phone number: 480-332-0385
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Mailing Address
LIGHT HOUSE GROUP HOME LLC
9713 E EL PASO ST
MESA, AZ 85207-5351
Phone number: 480-332-0385
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