The Lighthouse-Home for Medically Fragile Children
NPI #1639668114 in Los Angeles, California
Provider Information
- NPI Number
- 1639668114
- Entity Type
- Organization
- Organization Name
- The Lighthouse-Home for Medically Fragile Children
- Primary Specialty
- Clinic/Center - Recovery Care
- Enumeration Date
- May 9, 2018
- Last Updated
- May 9, 2018
Practice Location
- Address
- 206 W CENTURY BLVD
- City
- Los Angeles
- State
- California
- ZIP Code
- 90003-4502
- Phone
- (310) 904-4645
Authorized Official
- Name
- LISA CARMELLA AMOS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (310) 904-4645
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Recovery Care — Recovery Care |
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