Lighthouse Ranch LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Moroni, UT
NPI 1235458555 · NPPES record last updated May 26, 2010
Key facts
- NPI
- 1235458555
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 32253J00000X (UT)
- Legal business name
- LIGHTHOUSE RANCH LLC
- Practice address
- 21360 North 1450 East
Moroni, UT 84646-0461 - Phone
- (435) 851-1824
- NPI assigned
- May 26, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Todd Pay
- Title
- Owner
- Phone
- (435) 851-1824
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Blue Hills Residential Treatment
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 32253J00000X | UT | Yes |
Addresses
Primary practice location
21360 North 1450 East
Moroni, UT 84646-0461
Mailing address
21360 N. 1450 E.
Moroni, UT 84646-0461
Phone (435) 851-1824
Other providers in Moroni, UT
- Eric Lafollette
- Blaine Larsen
- Olivia Larson
- Lighthouse Academy LLC
- Lighthouse Ranch
- Keith Livingston
- McKade Lusk
- Samuel Martinez
- Nathan Miner
- Greg Morley
All providers in Moroni, UT · Substance Abuse Rehabilitation Facility in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.