Organization · Type 2 NPI

Lighthouse Residential Care Facility

Intellectual and/or Developmental Disabilities Residential Treatment Facility · West Columbia, SC

NPI number 1205754603 Active

Practice location

4033 Delree St Lot 31
West Columbia, SC 29170-1534

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1205754603

Lighthouse Residential Care Facility's National Provider Identifier is 1205754603, issued on Jul 6, 2026. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in West Columbia, SC. The record was last updated on Jul 8, 2026.