| NPI | 1841584679 |
|---|---|
| Doing Business As | LIGHTHOUSE HOMECARE |
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MAVOURNEEN ADAMS President / CEO 309-786-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IL 4000149) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: IL 3000261) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |