NPI 1013733625

The Light House LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Greensboro, NC

Practice location

Address: 116 Yester Oaks Way E APT J, Greensboro, NC 27455-3140
Phone: (336) 324-7223

Authorised official

Name: Temuka Hoskins Hendrix
Title: Owner
Phone: (336) 324-7223

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in North Carolina →

Registry record

NPI: 1013733625
Entity type: Organization
NPI issued: 27 Nov 2024
Record last updated: 27 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.