Provider Demographics
NPI:1093968786
Name:A GUIDING LIGHT
Entity Type:Organization
Organization Name:A GUIDING LIGHT
Other - Org Name:MEDICAID AND FINANCIAL PLANNING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:RULISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-409-2292
Mailing Address - Street 1:1008 1/2 DREW ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33755-4521
Mailing Address - Country:US
Mailing Address - Phone:727-409-2292
Mailing Address - Fax:727-442-7479
Practice Address - Street 1:1008 1/2 DREW ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-4521
Practice Address - Country:US
Practice Address - Phone:727-409-2292
Practice Address - Fax:727-442-7479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management