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Contact Information

THE LIGHT HOUSE-GIFT OF LIFE, INC.
203 CENTENNIAL STREET
SUITE 101
LA PLATA, MD20646
 Phone: 301-934-3683
 Fax: 301-934-3785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for THE LIGHT HOUSE-GIFT OF LIFE, INC.

NPI Number 1770852444
LBN Legal business name THE LIGHT HOUSE-GIFT OF LIFE, INC.
Authorized official SONJA HALL MAHONEY - (FOUNDER EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/23/2011
Last updated 03/09/2012 - About 14 years ago
Identifiers
MD License # LP33111
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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