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LIGHT HOUSE AMBULATORY CLINIC LLC NPI 1730482845


NPI Information

NPI: 1730482845
Provider Name: LIGHT HOUSE AMBULATORY CLINIC LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
121 W FLORENCE BLVD
SUITE B
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 423-8334
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LIGHT HOUSE AMBULATORY CLINIC LLC is a nursing care in Casa Grande, AZ. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. LIGHT HOUSE AMBULATORY CLINIC LLC NPI is 1730482845. The provider is registered as an organization entity type.

The provider's business location address is:

121 W FLORENCE BLVD
SUITE B
CASA GRANDE, AZ
ZIP 85122-089
Phone: (520) 423-8334
Fax: (520) 421-2877

The provider's authorized official is Florence Adenike Oladokun .
The authorized official title is Owner-administrator and has the following contact phone number (520) 421-8334.

The enumeration date for this NPI number is 12/10/2010 and was last updated on 12/10/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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.