Organization · Type 2 NPI
The Lighthouse - Traverse City, LLC
Rehabilitation Clinic/Center · Kingsley, MI
NPI number
1740369446
Active
Practice location
4140 Beacon St
Kingsley, MI 49649
Fax (231) 263-1353
Mailing address
PO Box 289, 1655 E Caro Rd
Caro, MI 48723-0289
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Clinic/Center Primary | 261QR0400X | None listed |
Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1740369446
The Lighthouse - Traverse City, LLC's National Provider Identifier is 1740369446, issued on Nov 3, 2006. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Kingsley, MI. The record was last updated on Aug 22, 2020.