Lighthouse Group Homes, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in McKinney, TX. Organization (NPI-2).
NPI number1760081228
StatusActive
Last updated in NPPESOct 25, 2020
Details
- NPI
- 1760081228
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthouse Group Homes, LLC
- Organization subpart
- No
- Enumeration date
- Oct 25, 2020
- Certification date
- Oct 25, 2020
- Last updated
- Oct 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 320700000X | Residential Treatment Facility, Physical Disabilities | – | – | |
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – |
Practice location
2109 Quail Run Apt BMcKinney, TX 75071-1013
Phone 469-845-6419
Mailing address
2109 Quail Run Apt BMcKinney, TX 75071-1013
Phone 469-845-6419
Authorized official
Tandy Leanne Faulkner
Executive Director
4698456419
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