Organization · Type 2 NPI

The Harbor Lighthouse

Adult Care Home Facility · Glendale, AZ

NPI number 1306833355 Active

Practice location

5940 W Pershing Ave
Glendale, AZ 85304-1123

Call (623) 773-9464 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XALH-4783 (AZ)

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1306833355

The Harbor Lighthouse's National Provider Identifier is 1306833355, issued on Oct 4, 2005. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Glendale, AZ. The record was last updated on Aug 22, 2020.