| 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 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |