The Lighthouse Afc, LLC
Custodial Care Facility, Adult Care Home in Kalamazoo, MI. Organization (NPI-2).
NPI number1669935102
StatusActive
Last updated in NPPESApr 11, 2019
Details
- NPI
- 1669935102
- Entity type
- Organization (NPI-2)
- Legal business name
- The Lighthouse Afc, LLC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2019
- Last updated
- Apr 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | – | Yes |
| 174200000X | Meals | – | – | |
| 251E00000X | Home Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 347C00000X | Private Vehicle | – | – |
Practice location
438 Drexel PlKalamazoo, MI 49007-3470
Phone 269-348-6217
Mailing address
437 Drexel PlKalamazoo, MI 49007-3402
Phone 269-348-6217
Authorized official
Maria Davis
Administrator
2693486217
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