Northern Lighthouse DBA Northern Lighthouse Day Center

NPI #1659601409 in Soldotna, Alaska

Provider Information

NPI Number: 1659601409
Entity Type: Organization
Organization Name: Northern Lighthouse DBA Northern Lighthouse Day Center
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHERN LIGHTHOUSE
Primary Specialty: Respite Care
Enumeration Date: Dec 29, 2009
Last Updated: Dec 29, 2009

Practice Location

Address: 136 E REDOUBT AVE
City: Soldotna
State: Alaska
ZIP Code: 99669-8012
Phone: (907) 398-2939

Authorized Official

Name: MARY JO METTLER
Title: PROGRAM ADMINISTRATOR
Phone: (907) 398-2939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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