Provider Demographics
NPI:1659405330
Name:LIGHTNING CREEK INVESTMENT GROUP, INC
Entity Type:Organization
Organization Name:LIGHTNING CREEK INVESTMENT GROUP, INC
Other - Org Name:GUEST HOME ESTATES VIII
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:E
Authorized Official - Last Name:TINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-244-5301
Mailing Address - Street 1:330 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:KS
Mailing Address - Zip Code:66733-1128
Mailing Address - Country:US
Mailing Address - Phone:620-244-5301
Mailing Address - Fax:620-244-5482
Practice Address - Street 1:330 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:KS
Practice Address - Zip Code:66733-1128
Practice Address - Country:US
Practice Address - Phone:620-244-5301
Practice Address - Fax:620-244-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility