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NPI Code Detail

MEDICARE: LIGHTHOUSE HOMECARE SERVICES

MEDICARE: LIGHTHOUSE HOMECARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyMA

General Provider Information

NPI Number : 1336566959
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIGHTHOUSE HOMECARE SERVICES
Provider Business Mailing Address
First Line : 49 PRINCE ST
Second Line :
City : MILTON
State : MA
Zip : 02186-2664
Country : US
Telephone Number : 617-763-2766
Fax Number : 617-273-1323
Provider Business Practice Location Address
First Line : 49 PRINCE ST
Second Line :
City : MILTON
State : MA
Zip : 02186-2664
Country : US
Telephone Number : 617-763-2766
Fax Number : 617-273-1323
Authorized Official
Title or Position : CEO
Name : HOWARD YEE
Credential :
Telephone Number : 617-763-2766
Provider Enumeration Date : 03/20/2014
Last Update Date : 03/20/2014

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Directions to “LIGHTHOUSE HOMECARE SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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