Organization
LIGHTHOUSE RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTIA LANDIS APRN (OWNER/ADMINISTRATOR)
(754) 241-3155
Entity
Organization
Contact information
Practice address
1515 N UNIVERSITY DR STE 207, CORAL SPRINGS, FL 33071-6067
(754) 241-3155
(866) 635-1584
Mailing address
1515 N UNIVERSITY DR STE 112, CORAL SPRINGS, FL 33071-6065
(754) 241-3155
(866) 635-1584
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/21/2026
Last updated
07/21/2026
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