Provider Demographics
NPI:1447600648
Name:A.A.A.H. LIGHTED PATHS
Entity Type:Organization
Organization Name:A.A.A.H. LIGHTED PATHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-497-4650
Mailing Address - Street 1:1509 SHELLEY ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3468
Mailing Address - Country:US
Mailing Address - Phone:214-497-4650
Mailing Address - Fax:
Practice Address - Street 1:1509 SHELLEY ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3468
Practice Address - Country:US
Practice Address - Phone:214-497-4650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-18
Last Update Date:2016-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health