Organization
CIRCLE OF LIGHT PROVIDERS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI THIBODEAUX-METCALF (ADMINISTRATOR)
(832) 878-8125
Entity
Organization
Contact information
Practice address
3402 HANSFORD PL, PEARLAND, TX 77584-4985
(832) 878-8125
Mailing address
3402 HANSFORD PL, PEARLAND, TX 77584-4985
(832) 878-8125
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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