NPI 1306833355

The Harbor Lighthouse

Organisation Adult Care Home Facility Glendale, AZ

Practice location

Address: 5940 W Pershing Ave, Glendale, AZ 85304-1123
Phone: (623) 773-9464

Authorised official

Name: Nicolae Lucian Negrea
Title: Owner
Phone: (623) 773-9464

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence ALH-4783 (AZ)

Other Custodial Care Facility providers in Arizona →

Registry record

NPI: 1306833355
Entity type: Organization
NPI issued: 4 Oct 2005
Record last updated: 22 Aug 2020

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.