NPI | 1285065474 |
---|---|
Former Legal Business Name | LIGHT HOUSE OF HOPE LLC |
Entity Type | Organization |
Authorized Contact | SUSAN C COYLE Owner 913-206-6698 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2013-12-12 |
Last Update Date | 2013-12-12 |