Organization
LIGHTHOUSE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE A LIGHT (CEO)
(316) 522-1095
Entity
Organization
Contact information
Practice address
CLEARWATER RETIREMENT COMMUNITY, 620 EAST WOOD STREET, CLEARWATER, KS 67026
(620) 584-2271
Mailing address
981 FOREST CT, HAYSVILLE, KS 67060-1478
(316) 522-1095
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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