| NPI | 1962962159 |
|---|---|
| Doing Business As | LIGHTHOUSE SENIOR CARE |
| Entity Type | Organization |
| Authorized Contact | GARY WALKER Member 208-724-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |