# LIGHTHOUSE GUESTHOUSE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235354770
- **Authorized official:** TERESA SANDERSON RN (CEO)
- **Authorized official phone:** (785) 742-3336

## Contact information

- **Practice address:** 1480 230TH ST, HIAWATHA, KS 66434-8607
- **Practice address phone:** (785) 742-3336
- **Mailing address:** 1480 230TH ST, HIAWATHA, KS 66434-8607
- **Mailing address phone:** (785) 742-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | B007002 | KS | Yes |

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020