The Harbor Lighthouse

NPI #1306833355 in Glendale, Arizona

Provider Information

NPI Number
1306833355
Entity Type
Organization
Organization Name
The Harbor Lighthouse
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Oct 4, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
5940 W PERSHING AVE
State
Arizona
ZIP Code
85304-1123
Phone
(623) 773-9464

Authorized Official

Name
MR. NICOLAE LUCIAN NEGREA
Title
OWNER
Phone
(623) 773-9464

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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