THE LIGHTHOUSE - TRAVERSE CITY LLC NPI 1740369446

NPI Information

NPI: 1740369446
Provider Name: THE LIGHTHOUSE - TRAVERSE CITY, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
4140 BEACON ST
KINGSLEY, MI
ZIP 49649
Phone: (231) 263-1350
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THE LIGHTHOUSE - TRAVERSE CITY, LLC is a rehabilitation clinic center in Kingsley, MI. THE LIGHTHOUSE - TRAVERSE CITY, LLC NPI is 1740369446. The provider is registered as an organization entity type.

The provider's business location address is:

4140 BEACON ST
KINGSLEY, MI
ZIP 49649
Phone: (231) 263-1350
Fax: (231) 263-1353

The provider's authorized official is Mark Wilson .
The authorized official title is Director Of Finance and has the following contact phone number (989) 673-2500.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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