Lighthouse Operator LLC
NPI #1760212567 in Revere, Massachusetts
Provider Information
- NPI Number
- 1760212567
- Entity Type
- Organization
- Organization Name
- Lighthouse Operator LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 6, 2024
- Last Updated
- Jul 9, 2025
Practice Location
- Address
- 204 PROCTOR AVE
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-4923
- Phone
- (781) 286-3100
Authorized Official
- Name
- MINDEE POSEN
- Title
- MEDICARE ADMINISTRATION OFFICER
- Phone
- (732) 903-1958
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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