Organization
MY LIGHTHOUSE OF HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE MEHLHOP (PROGRAM DIRECTOR)
(979) 968-8502
Entity
Organization
Contact information
Practice address
768 N MAIN ST, LA GRANGE, TX 78945-1636
(979) 968-8502
(979) 968-5210
Mailing address
768 N MAIN ST, LA GRANGE, TX 78945-1636
(979) 968-5210
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
07/23/2008
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