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 |