National Provider Identifier Database

LIGHTHOUSE RANCH CORPORATION
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

LIGHTHOUSE RANCH CORPORATION
390 EAST 100 SOUTH
EPHRAIM, UT84627
Phone: 435-283-5200
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LIGHTHOUSE RANCH CORPORATION

NPI Number 1992079099
Legal business name
LBN
LIGHTHOUSE RANCH CORPORATION
Authorized official KEVIN BAILEY - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/07/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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