LP LIGHTHOUSE LLC NPI 1295189173

NPI Information

LP LIGHTHOUSE LLC is a residential treatment facility, intellectual and/or developmental disabilities in Southfield, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. LP LIGHTHOUSE LLC NPI is 1295189173. The provider is registered as an organization entity type.

The provider's business location address is:

25820 SOUTHFIELD RD STE 202
SOUTHFIELD, MI
ZIP 48075-828
Phone: (248) 234-8533
Fax: (248) 234-8533

The provider's authorized official is Larry D Pruitt .
The authorized official title is Owner and has the following contact phone number (248) 234-8533.

The enumeration date for this NPI number is 4/18/2016 and was last updated on 4/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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