THE LIGHTHOUSE - TRAVERSE CITY LLC NPI 1649359316

NPI Information

THE LIGHTHOUSE - TRAVERSE CITY, LLC is a residential treatment facility physical disabilities in Kingsley, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. THE LIGHTHOUSE - TRAVERSE CITY, LLC NPI is 1649359316. The provider is registered as an organization entity type.

The provider's business location address is:

4140 BEACON ST
KINGSLEY, MI
ZIP 49649
Phone: (231) 263-1350
Fax: (231) 263-1353

The provider's authorized official is Mark Wilson .
The authorized official title is Director Of Finance and has the following contact phone number (989) 673-2500.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/28/2013.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.