# LIGHTHOUSE REHABILITATION LLC

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

## Provider details

- **NPI number:** 1861523086
- **Authorized official:** EDDIE A LIGHT (CEO)
- **Authorized official phone:** (316) 522-1095

## Contact information

- **Practice address:** CLEARWATER RETIREMENT COMMUNITY, 620 EAST WOOD STREET, CLEARWATER, KS 67026
- **Practice address phone:** (620) 584-2271
- **Mailing address:** 981 FOREST CT, HAYSVILLE, KS 67060-1478
- **Mailing address phone:** (316) 522-1095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 08/22/2020