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LIGHTHOUSE OF HOPE LLC NPI 1780878090


NPI Information

NPI: 1780878090
Provider Name: LIGHTHOUSE OF HOPE, LLC

Doing Business As: PLANTATION MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
342 E BROADWAY ST
BOLIVAR, MO
ZIP 65613
Phone: (417) 777-2844
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LIGHTHOUSE OF HOPE, LLC is an assisted living facility in Bolivar, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LIGHTHOUSE OF HOPE, LLC NPI is 1780878090. The provider is registered as an organization entity type.
The provider Is Doing Business As Plantation Manor.

The provider's business location address is:

342 E BROADWAY ST
BOLIVAR, MO
ZIP 65613-680
Phone: (417) 777-2844
Fax: (417) 777-2845

The provider's authorized official is Christie Joyell Aman .
The authorized official title is Owner/administrative Assistant and has the following contact phone number (417) 777-2844.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 8/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility034525MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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