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Organization

CANDLELIGHT COMPASSIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LUCILLE DIANE ANKUM (C.E.O.)
(251) 655-0503
Entity
Organization

Contact information

Practice address
2400 S US HIGHWAY 31, BAY MINETTE, AL 36507-8227
(251) 975-0075
(251) 975-0076
Mailing address
PO BOX 1211, ATMORE, AL 36504-1211
(251) 975-0075
(251) 975-0076

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251T00000X
PACE Provider Organization
Primary
253Z00000X
In Home Supportive Care Agency
385H00000X
Respite Care

Other

Enumeration date
06/20/2017
Last updated
06/20/2017
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