Lighthouse Health Services LLC

NPI #1093444861 in Lewiston, Maine

Provider Information

NPI Number: 1093444861
Entity Type: Organization
Organization Name: Lighthouse Health Services LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 7, 2022
Last Updated: Jun 7, 2022

Practice Location

Address: 22 SARGEANT ST
City: Lewiston
State: Maine
ZIP Code: 04240-3461
Phone: (120) 734-4767

Authorized Official

Name: LONY MUGISHA
Title: CEO
Phone: (207) 344-7675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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