MEDICARE: GUIDING LIGHT HEALTHCARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1477701415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDING LIGHT HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	9303 EAGLEWOOD SHADOW CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9303 EAGLEWOOD SHADOW CT
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77083-6290
Country	:	US
Telephone Number	:	281-277-9915
Fax Number	:	281-277-9915

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. PRISCA WARA
Credential	:	RN
Telephone Number	:	281-277-9915

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	09/03/2008

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