The Harbor Lighhouse Ii

LBN: The Harbor Lighhouse Ii
The Harbor Lighhouse Ii is an health care organization with primary practice located at 4142 W Grovers Ave , Glendale AZ 85308-2926. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. The Harbor Lighhouse Ii can be contacted via phone (602) 358-8604, or through Tirdea, Costel via phone (602) 358-8604.

Contact Information

Primary practice address
4142 W Grovers Ave Glendale AZ 85308-2926
Phone: (602) 358-8604
Fax: (602) 606-2356
Website:
Map and Directions
Authorized official contact:
Name: Tirdea, Costel
Phone: (602) 358-8604

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X ALH-6343 Arizona

Profile Details

NPI number 1336477520
LBN Legal business name The Harbor Lighhouse Ii
DBA Doing business as
Authorized official Tirdea, Costel
Entity Organization
Organization subpart 1 No
Enumeration date Nov 26th, 2009
Last updated Nov 26th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336477520 NPPES
Arizona Other AHL-6343 ASSISTED LIVING HOME LICENSE

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