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Organization
GUIDING LIGHT SERVICES, INC
Active
Organization
GUIDING LIGHT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA T. BRANDON (DIRECTOR)
(225) 924-2744
Entity
Organization
Contact information
Practice address
5500 FLORIDA BLVD, SUITE 103, BATON ROUGE, LA 70806-4133
(225) 924-2744
(225) 924-0855
Mailing address
5500 FLORIDA BLVD, SUITE 103, BATON ROUGE, LA 70806-4133
(225) 924-2744
(225) 924-0855
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2203782084
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1560499
—
LA
Enumeration date
03/12/2015
Last updated
03/16/2015
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