Provider Demographics
NPI:1114249877
Name:LIGHTHOUSE ACADEMIES OF ARKANSAS
Entity Type:Organization
Organization Name:LIGHTHOUSE ACADEMIES OF ARKANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:NICHOLS
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-985-1200
Mailing Address - Street 1:251 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-4462
Mailing Address - Country:US
Mailing Address - Phone:501-985-1200
Mailing Address - Fax:501-985-1201
Practice Address - Street 1:251 N 1ST ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-4462
Practice Address - Country:US
Practice Address - Phone:501-985-1200
Practice Address - Fax:501-985-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)