Organization
LIGHTNING CREEK INVESTMENT GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY RAE GROMER LBSW (MANAGER)
(620) 235-0522
Entity
Organization
Contact information
Practice address
1910 E CENTENNIAL DR, PITTSBURG, KS 66762-8734
(620) 235-0522
(620) 235-0533
Mailing address
1910 E CENTENNIAL DR, PITTSBURG, KS 66762-8734
(620) 235-0522
(620) 235-0533
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
310400000X
KS
Other
Enumeration date
03/14/2007
Last updated
07/02/2008
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