Lighthouse Residenital
NPI #1710483714 in Wheat Ridge, Colorado
Provider Information
- NPI Number
- 1710483714
- Entity Type
- Organization
- Organization Name
- Lighthouse Residenital
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 30, 2018
- Last Updated
- Mar 30, 2018
Practice Location
- Address
- 10200 W 44TH AVE STE 400B
- City
- Wheat Ridge
- State
- Colorado
- ZIP Code
- 80033-6826
- Phone
- (720) 465-0920
Authorized Official
- Name
- TERESA HORNBUCKLE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (720) 465-0920
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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