1770843997 NPI number — LIGHTHOUSE RANCH FOR BOYS INC.

Table of content: (NPI 1770843997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770843997 NPI number — LIGHTHOUSE RANCH FOR BOYS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIGHTHOUSE RANCH FOR BOYS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770843997
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 238
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LORANGER
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70446-0238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-878-6560
Provider Business Mailing Address Fax Number:
985-878-9370

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
51453 HWY 443
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LORANGER
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-878-6560
Provider Business Practice Location Address Fax Number:
985-878-9370
Provider Enumeration Date:
05/22/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT/DIRECTOR
Authorized Official Telephone Number:
985-878-6560

Provider Taxonomy Codes

  • Taxonomy code: 320800000X , with the licence number:  15250 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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