Provider Demographics
NPI:1730917634
Name:GUIDING LIGHT HOME HELP SERVICES, LLC
Entity type:Organization
Organization Name:GUIDING LIGHT HOME HELP SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:
Authorized Official - Last Name:DORE'
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:337-298-4056
Mailing Address - Street 1:245 INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3209
Mailing Address - Country:US
Mailing Address - Phone:337-519-8867
Mailing Address - Fax:
Practice Address - Street 1:2201 VEROT SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-6469
Practice Address - Country:US
Practice Address - Phone:337-205-0967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care