Organization
LIGHTHOUSE ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM LITTLETON (PRESIDENT)
(720) 344-7217
Entity
Organization
Contact information
Practice address
6318 S EMPORIA CIR, ENGLEWOOD, CO 80111-5528
(720) 344-7217
(720) 200-4906
Mailing address
6415 MONTANO PL, CASTLE PINES, CO 80108-8139
(720) 344-7217
(720) 200-4906
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000143424
—
CO
Enumeration date
04/01/2019
Last updated
04/01/2019
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