Lighthouse Foster Care, Llc.

NPI #1447549621 in St George, Utah

Provider Information

NPI Number: 1447549621
Entity Type: Organization
Organization Name: Lighthouse Foster Care, Llc.
Primary Specialty: Foster Care Agency
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 50 E 100 S
Address 2: SUITE #204
City: St George
State: Utah
ZIP Code: 84770-2318
Phone: (435) 229-4889

Authorized Official

Name: MR. JOSEPH TAMSAMOA AHQUIN SR.
Title: EXECUTIVE DIRECTOR
Phone: (435) 229-4889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Foster Care Agency	253J00000X	Primary

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