Provider Demographics
NPI:1083280465
Name:GUIDING LIGHT HEALTH LLC
Entity Type:Organization
Organization Name:GUIDING LIGHT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-560-2289
Mailing Address - Street 1:3030 NACOGDOCHES RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-4502
Mailing Address - Country:US
Mailing Address - Phone:210-560-2289
Mailing Address - Fax:210-858-6523
Practice Address - Street 1:3030 NACOGDOCHES RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4502
Practice Address - Country:US
Practice Address - Phone:210-560-2289
Practice Address - Fax:210-858-6523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based