National Provider Identifier Database

LIGHTHOUSE RANCH
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

LIGHTHOUSE RANCH
21360 N 1450 E
MORONI, UT84646-0461
Phone: 435-445-5200
Fax: 435-445-5201
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for LIGHTHOUSE RANCH

NPI Number 1982972964
Legal business name
LBN
LIGHTHOUSE RANCH
Authorized official KEVIN BAILEY - (PROGRAM DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/06/2011
Last updated 12/06/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • UT Medicaid: 1235458555

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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