Lighthouse Independent Living
Lighthouse Independent Living is a Developmentally Disabled Services Day Training Agency in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.
- Licensed in
- TN
- In the registry since
- 2009
Practice location Address checks out
2882 Boones Creek RdJohnson City, TN 37615-4655
Phone: (423) 282-5555
Fax: (423) 282-6106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X · Licence L000000004479 (TN) |
|---|
Record details
| NPI number | 1053548099 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Banner — Director · (423) 282-5555 |
| NPI enumerated | June 17, 2009 |
| Last updated in NPPES | June 17, 2009 |
| Mailing address | 2882 Boones Creek Rd, Johnson City, TN 37615-4655 |
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