| NPI | 1851505853 |
|---|---|
| Doing Business As | LIGHTHOUSE AT WACONIA |
| Entity Type | Organization |
| Authorized Contact | TINA DUVALL Controller 952-746-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2010-02-02 |