Provider Demographics
NPI:1689951576
Name:THE WILCHER CORPORATION
Entity Type:Organization
Organization Name:THE WILCHER CORPORATION
Other - Org Name:LIGHTHOUSE SENIOR DAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MACHERLD
Authorized Official - Middle Name:JA'NET
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-228-4550
Mailing Address - Street 1:8157 LEIGH ANN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-4907
Mailing Address - Country:US
Mailing Address - Phone:972-228-4550
Mailing Address - Fax:972-228-4780
Practice Address - Street 1:8157 LEIGH ANN DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-4907
Practice Address - Country:US
Practice Address - Phone:972-228-4550
Practice Address - Fax:972-228-4780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care