Lighthorse Healthcare, Inc. | |
2060 Dan Proctor Dr Suite 3300 Saint Marys GA 31558-3894 | |
(912) 882-3800 | |
Not Available |
Full Name | Lighthorse Healthcare, Inc. |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2060 Dan Proctor Dr, Saint Marys, Georgia |
Authorized Official Name and Position | Carlene Taylor (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9128823800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthorse Healthcare, Inc. Po Box 5250 Saint Marys GA 31558-5250 Ph: (912) 882-3800 | Lighthorse Healthcare, Inc. 2060 Dan Proctor Dr Suite 3300 Saint Marys GA 31558-3894 Ph: (912) 882-3800 |
NPI Number | 1881001576 |
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Provider Enumeration Date | 07/15/2014 |
Last Update Date | 07/15/2014 |
Identifier | Type | State | Issuer |
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1881001576 | NPI | - | NPPES |
1174899454 | Other | GA | NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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