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General NPI Number Information
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NPI Number | 1568287225
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE OF HOPE, LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1301 WILDCAT LN
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City | MINNEOLA
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State | FL
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Zip | 34715-7823
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Country | US
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Telephone | 352-631-3912
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Fax | 407-477-6541
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Provider Business Mailing Address
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Address Line | 1301 WILDCAT LN
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City | MINNEOLA
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State | FL
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Zip | 34715-7823
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Country | US
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Telephone | 352-631-3912
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Fax | 407-477-6541
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | RAYMOND MUNOZ
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Credential |
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Telephone | 352-890-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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