NPI 1205754603
Lighthouse Residential Care Facility
Practice location
- Address
- 4033 Delree St Lot 31, West Columbia, SC 29170-1534
- Phone
- (803) 957-0583
Authorised official
- Name
- Angeline Smith
- Title
- Director
- Phone
- (803) 957-0583
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1205754603
- Entity type
- Organization
- NPI issued
- 6 Jul 2026
- Record last updated
- 8 Jul 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.