Organization
LIGHTHOUSE PERSONAL CARE HOME,LLC
Active
Other names
LIGHTHOUSE PERSONAL CARE HOME, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
REVERA WHITE (CEO)
(469) 806-9551
Entity
Organization
Contact information
Practice address
824 SW HILLSIDE DR, BURLESON, TX 76028-5237
(601) 573-3116
(601) 573-3116
Mailing address
616 WINDING FOREST CT, GRAND PRAIRIE, TX 75052-6692
(469) 806-9551
(469) 806-9551
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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