Organization
OPERATION LIGHTHOUSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY R FELTS (PRESIDENT)
(325) 670-9577
Entity
Organization
Contact information
Practice address
125 SAYLES BLVD, ABILENE, TX 79605-2001
(325) 670-9577
(325) 670-6040
Mailing address
125 SAYLES BLVD, ABILENE, TX 79605-2001
(325) 670-9577
(325) 670-6040
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101717
DADS FACILITY ID
TX
01
—
114356
TEXAS DADS LICENSE
TX
Enumeration date
02/08/2007
Last updated
06/19/2014
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