Organization
LIGHTHOUSE SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER KABERUKA (CEO)
(207) 844-4377
Entity
Organization
Contact information
Practice address
8205 SHARON DR, URBANDALE, IA 50322-7338
(207) 844-4377
Mailing address
8205 SHARON DR, URBANDALE, IA 50322-7338
(207) 844-4377
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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