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Contact Information

LIGHTLE PSYCHIATRIC SERVICES LLC
13303 E MISSION AVE APT 189
SPOKANE VALLEY, WA99216-2792
 Phone: 509-993-2021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living, Behavioral Disturbances

3104A0630X
 

Adult Care Home

311ZA0620X
 

Assisted Living, Mental Illness

3104A0625X
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LIGHTLE PSYCHIATRIC SERVICES LLC

NPI # 1841506706
LBN Legal business name LIGHTLE PSYCHIATRIC SERVICES LLC
Authorized official PATTY FRAY - (PSYCHIATRIC NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2010
Last updated 08/28/2010 - About 16 years ago
Identifiers
WA License # AP 60071357
WA License # AP60071357
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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