Organization
LIGHT HOUSE OF HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN C COYLE (PRESIDENT/OWNER)
(913) 206-6698
Entity
Organization
Contact information
Practice address
7914 LEAVENWORTH RD, KANSAS CITY, KS 66109-1578
(913) 206-6698
(913) 328-0219
Mailing address
7914 LEAVENWORTH RD, KANSAS CITY, KS 66109-1578
(913) 206-6698
(913) 328-0219
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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