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Lighthouse Independent Living
Developmentally Disabled Services Day Training Agency in Johnson City, Tennessee
NPI 1053548099

Lighthouse Independent Living is a Developmentally Disabled Services Day Training Agency based in Johnson City, TN. Lighthouse Independent Living practices in Johnson City, TN. The NPI Number for Lighthouse Independent Living is 1053548099 and holds a License No. L000000004479 (Tennessee).

The current practice location address for Lighthouse Independent Living is 2882 Boones Creek Rd, Johnson City, TN and can be reached out via phone at 423-282-5555 and via fax at 423-282-6106.

Location: 2882 Boones Creek Rd, Johnson City, TN, 37615-4655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053548099
Provider Name
Lighthouse Independent Living
Credential
Provider Entity Type
Organization
Address
2882 Boones Creek Rd, Johnson City, TN, 37615-4655
Phone Number
423-282-5555
Fax Number
423-282-6106
Provider Enumeration Date
06/17/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2882 Boones Creek Rd
City
Johnson City
State
Tennessee
Zip
37615-4655
Phone Number
423-282-5555
Fax Number
423-282-6106
person
Provider Business Mailing Address Details
Address
2882 Boones Creek Rd
City
Johnson City
State
Tennessee
Zip
37615-4655
Phone Number
423-282-5555
Fax Number
423-282-6106
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
L000000004479 (Tennessee)
Definition
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 functioning.
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