| Light House Sober Living | |
|
100 Jackson St Port Clinton OH 43452-1024 | |
| (419) 967-9550 | |
| (800) 434-1959 |
| Full Name | Light House Sober Living |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 100 Jackson St, Port Clinton, Ohio |
| Authorized Official Name and Position | Kenn Bower (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4199675676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light House Sober Living 100 Jackson St Port Clinton OH 43452-1024 Ph: (419) 967-9550 | Light House Sober Living 100 Jackson St Port Clinton OH 43452-1024 Ph: (419) 967-9550 |
| NPI Number | 1598606659 |
|---|---|
| Provider Enumeration Date | 04/02/2026 |
| Last Update Date | 04/02/2026 |
| Certification Date | 04/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598606659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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