Organization · Type 2 NPI
My Lighthouse of Hope, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · La Grange, TX
Practice location
768 N Main St
La Grange, TX 78945-1636
Fax (979) 968-5210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1215086871
My Lighthouse of Hope, Inc.'s National Provider Identifier is 1215086871, issued on Jan 10, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in La Grange, TX. The record was last updated on Jul 23, 2008.