My Lighthouse of Hope, Inc.

NPI #1215086871 in La Grange, Texas

Provider Information

NPI Number
1215086871
Entity Type
Organization
Organization Name
My Lighthouse of Hope, Inc.
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jan 10, 2007
Last Updated
Jul 23, 2008

Practice Location

Address
768 N MAIN ST
State
Texas
ZIP Code
78945-1636
Phone
(979) 968-8502

Authorized Official

Name
JOE MEHLHOP
Title
PROGRAM DIRECTOR
Phone
(979) 968-8502

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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