Provider Demographics
NPI:1205008893
Name:LIGHTFORCE MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:LIGHTFORCE MANAGEMENT SERVICES, INC.
Other - Org Name:GRISWOLD HOME CARE TAMPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRIEDA
Authorized Official - Middle Name:SHAVER
Authorized Official - Last Name:MOSELEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:813-343-0272
Mailing Address - Street 1:7853 GUNN HWY # 181
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1611
Mailing Address - Country:US
Mailing Address - Phone:813-343-0272
Mailing Address - Fax:425-920-7993
Practice Address - Street 1:7213 N MOBLEY RD
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-2306
Practice Address - Country:US
Practice Address - Phone:813-343-0272
Practice Address - Fax:425-920-7993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNR #30211332251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health