| NPI | 1851666200 |
|---|---|
| Doing Business As | LIGHTHOUSE PRIMARY HOME CARE |
| Entity Type | Organization |
| Authorized Contact | ARMANDO NATIVIDAD CEO/Owner 210-444-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-20 |