Organization
LIGHTHOUSE OF HOPE, LLC
Active
Organization
LIGHTHOUSE OF HOPE, LLC
Active
Other names
Plantation Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIE JOYELL AMAN (OWNER/ADMINISTRATIVE ASSISTANT)
(417) 777-2844
Entity
Organization
Contact information
Practice address
342 E BROADWAY ST, BOLIVAR, MO 65613-1680
(417) 777-2844
(417) 777-2845
Mailing address
342 E BROADWAY ST, BOLIVAR, MO 65613-1680
(417) 777-2844
(417) 777-2845
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
034525
MO
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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