Organization · Type 2 NPI

Lighthouse Independent Living

Developmentally Disabled Services Day Training Agency · Johnson City, TN

NPI number 1053548099 Active

Practice location

2882 Boones Creek Rd
Johnson City, TN 37615-4655

Fax (423) 282-6106

Specialties and licenses

TaxonomyCodeLicense
Developmentally Disabled Services Day Training Agency Primary 251C00000XL000000004479 (TN)

Developmentally Disabled Services Day Training Agency: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational function…

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About NPI 1053548099

Lighthouse Independent Living's National Provider Identifier is 1053548099, issued on Jun 17, 2009. The primary taxonomy on file is Developmentally Disabled Services Day Training Agency (251C00000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 17, 2009.