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Organization
FAITH'S SHINING LIGHT HOME HEALTH CARE, PLLC
Active
Organization
FAITH'S SHINING LIGHT HOME HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DAMETZ RN (OWNER/PRESIDENT)
(512) 517-0426
Entity
Organization
Contact information
Practice address
3300 LUMINOSO LN E, ROUND ROCK, TX 78681-2336
(512) 517-0426
Mailing address
3300 LUMINOSO LN E, ROUND ROCK, TX 78681-2336
(512) 517-0426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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