| NPI | 1093855314 |
|---|---|
| Doing Business As | LIGHTHOUSE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | GREG ORDWAY Director 573-256-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MO 1849496) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-19 |