The Lighthouse - Traverse City, LLC
NPI #1649359316 in Kingsley, Michigan
Provider Information
- NPI Number
- 1649359316
- Entity Type
- Organization
- Organization Name
- The Lighthouse - Traverse City, LLC
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Nov 3, 2006
- Last Updated
- Jan 28, 2013
Practice Location
Authorized Official
- Name
- MARK WILSON
- Title
- DIRECTOR OF FINANCE
- Phone
- (989) 673-2500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Physical Disabilities |
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