| NPI | 1437127487 |
|---|---|
| Doing Business As | LIGHTHOUSE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | RUBEN CANCEL CEO 772-344-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: FL F001) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2022-07-21 |