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The Lighthouse - Traverse City, Llc
Physical Disabilities Residential Treatment Facility in Kingsley, Michigan
NPI 1649359316

The Lighthouse - Traverse City, Llc is a Physical Disabilities Residential Treatment Facility based in Caro, MI. The Lighthouse - Traverse City, Llc practices in Kingsley, MI. The NPI Number for The Lighthouse - Traverse City, Llc is 1649359316 and holds a License No. (Michigan).

The current practice location address for The Lighthouse - Traverse City, Llc is 4140 Beacon St, Kingsley, MI and can be reached out via phone at 231-263-1350 and via fax at 231-263-1353.

Location: 4140 Beacon St, Kingsley, MI, 48723-0289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649359316
Provider Name
The Lighthouse - Traverse City, Llc
Credential
Provider Entity Type
Organization
Address
4140 Beacon St, Kingsley, MI, 48723-0289
Phone Number
231-263-1350
Fax Number
231-263-1353
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4140 Beacon St
City
Kingsley
State
Michigan
Zip
49649
Phone Number
231-263-1350
Fax Number
231-263-1353
person
Provider Business Mailing Address Details
Address
4140 Beacon St
City
Kingsley
State
Michigan
Zip
49649
Phone Number
231-263-1350
Fax Number
231-263-1353
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
-
Taxonomy
311Z00000X
License No.
()
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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