Organization
LIGHTHOUSE GUESTHOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SANDERSON RN (CEO)
(785) 742-3336
Entity
Organization
Contact information
Practice address
1480 230TH ST, HIAWATHA, KS 66434-8607
(785) 742-3336
Mailing address
1480 230TH ST, HIAWATHA, KS 66434-8607
(785) 742-3336
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
B007002
KS
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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