Organization
CANDLELIGHT HOSPICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR BRADLEY (MANAGER)
(646) 397-0201
Entity
Organization
Contact information
Practice address
11104 W AIRPORT BLVD STE 135, STAFFORD, TX 77477-3040
(646) 397-0201
(281) 609-4391
Mailing address
11104 W AIRPORT BLVD STE 135, STAFFORD, TX 77477-3040
(646) 397-0201
(281) 609-4391
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
05/15/2023
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