Provider Demographics
NPI:1093517153
Name:KORTUE LIGHT HOUSE
Entity type:Organization
Organization Name:KORTUE LIGHT HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PEACHES
Authorized Official - Middle Name:
Authorized Official - Last Name:MULBAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-972-2404
Mailing Address - Street 1:283 RICHARDS AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1816
Mailing Address - Country:US
Mailing Address - Phone:267-972-2404
Mailing Address - Fax:
Practice Address - Street 1:283 RICHARDS AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1816
Practice Address - Country:US
Practice Address - Phone:267-972-2404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility