NPI 1770852444
The Light House-Gift of Life, INC.
Practice location
- Address
- 203 Centennial Street Suite 101, La Plata, MD 20646
- Phone
- (301) 934-3683
- Fax
- (301) 934-3785
- Mailing address
- PO Box 157, Newburg, MD 20664-0157
Authorised official
- Name
- Sonja Hall Mahoney
- Title
- Founder Executive Director
- Phone
- (301) 690-2029
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1770852444
- Entity type
- Organization
- NPI issued
- 23 Dec 2011
- Record last updated
- 9 Mar 2012
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.