Organization
SHEDDING LIGHT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISHA BROWN (ADMINISTRATOR)
(469) 531-6129
Entity
Organization
Contact information
Practice address
1409 VERMONT AVE, LANCASTER, TX 75134-1696
(469) 531-6129
Mailing address
1409 VERMONT AVE, LANCASTER, TX 75134-1696
(469) 531-6129
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
06/12/2020
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