Provider Demographics
NPI:1457477812
Name:LIGHTNIG GREEK INVESTMENT GROUP, INC
Entity Type:Organization
Organization Name:LIGHTNIG GREEK INVESTMENT GROUP, INC
Other - Org Name:GUEST HOME ESTATES III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MGR.
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:RAYNE
Authorized Official - Last Name:MADDUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-273-3649
Mailing Address - Street 1:7440 220TH RD
Mailing Address - Street 2:
Mailing Address - City:CHANUTE
Mailing Address - State:KS
Mailing Address - Zip Code:66720-6409
Mailing Address - Country:US
Mailing Address - Phone:620-431-7115
Mailing Address - Fax:
Practice Address - Street 1:7440 220TH RD
Practice Address - Street 2:
Practice Address - City:CHANUTE
Practice Address - State:KS
Practice Address - Zip Code:66720-6409
Practice Address - Country:US
Practice Address - Phone:620-431-7115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN067008251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health