Light House Group Home
Light House Group Home is an In Home Supportive Care Agency in Tryon, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.
- Licensed in
- NC
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
85 Mimosa Inn LnTryon, NC 28782-8685
Phone: (828) 859-0259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | Taxonomy 320600000X · Licence MHL075025 (NC) |
Record details
| NPI number | 1013392679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Synergy in Action |
| Authorized official | Julie Grigg — Executive Administrator · (828) 859-0259 |
| NPI enumerated | July 24, 2015 |
| Last updated in NPPES | May 5, 2022 |
| Certification date | May 5, 2022 |
| Mailing address | 20 Jervey Rd, Suite 102, Tryon, NC 28782-0017 |
Other providers in Tryon
-
Peniel 1 Group Home
2936 Peniel Rd, Tryon, NC 28782-8807 · (828) 859-0259
-
Peniel 2 Group Home
2960 Peniel Rd, Tryon, NC 28782-8807 · (828) 859-0259