Lighthouse Premium Home Care LLC
NPI #1548085079 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1548085079
- Entity Type
- Organization
- Organization Name
- Lighthouse Premium Home Care LLC
- Primary Specialty
- Nursing Care
- Enumeration Date
- Nov 19, 2024
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 3300 COUNTY ROAD 10
- Address 2
- STE 200D
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55429
- Phone
- (612) 886-4585
Authorized Official
- Name
- OSWALD DEMA
- Title
- OWNER
- Phone
- (612) 886-4585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Nursing Care |
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