# CANDLELIGHT SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508014408
- **Authorized official:** MR. NATHAN KIMBROUGH (OWNER)
- **Authorized official phone:** (563) 579-7293

## Contact information

- **Practice address:** 3901 N MARQUETTE, SUITE 1G, DAVENPORT, IA 52806-4445
- **Practice address phone:** (563) 391-8117
- **Mailing address:** 3901 MARQUETTE ST, SUITE 1G, DAVENPORT, IA 52806-4445
- **Mailing address phone:** (563) 391-8117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 09/04/2008