Provider Demographics
NPI:1750037305
Name:TRUE LIGHT 7 LLC
Entity type:Organization
Organization Name:TRUE LIGHT 7 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUNIOR
Authorized Official - Middle Name:KIPUKA
Authorized Official - Last Name:AWALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-513-6846
Mailing Address - Street 1:1309 SOTOGRANDE BLVD
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-6017
Mailing Address - Country:US
Mailing Address - Phone:972-513-6846
Mailing Address - Fax:
Practice Address - Street 1:1309 SOTOGRANDE BLVD
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-6017
Practice Address - Country:US
Practice Address - Phone:972-513-6846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes347C00000XTransportation ServicesPrivate VehicleGroup - Single Specialty