| Lighthouse Support Services Llc | |
|
7303 E Main St Ste 106 Mesa AZ 85207-8325 | |
| (480) 332-0385 | |
| Not Available |
| Full Name | Lighthouse Support Services Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 7303 E Main St Ste 106, Mesa, Arizona |
| Authorized Official Name and Position | Jessica Evans (ADMINISTRATOR) |
| Authorized Official Contact | 6025260302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Support Services Llc 7303 E Main St Ste 106 Mesa AZ 85207-8325 Ph: (480) 332-0385 | Lighthouse Support Services Llc 7303 E Main St Ste 106 Mesa AZ 85207-8325 Ph: (480) 332-0385 |
| NPI Number | 1134875727 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134875727 | NPI | - | NPPES |
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