| Lighthouse Family Care | |
|
9612 Telegraph Rd Glen Allen VA 23060-2309 | |
| (804) 901-9777 | |
| Not Available |
| Full Name | Lighthouse Family Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9612 Telegraph Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | Gloria R Byrdsong (OWNER) |
| Authorized Official Contact | 8049019777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Family Care 9612 Telegraph Rd Glen Allen VA 23060-2309 Ph: (804) 901-9777 | Lighthouse Family Care 9612 Telegraph Rd Glen Allen VA 23060-2309 Ph: (804) 901-9777 |
| NPI Number | 1629494380 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629494380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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