Organization
CANDLELIGHT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN KIMBROUGH (OWNER)
(563) 579-7293
Entity
Organization
Contact information
Practice address
3901 N MARQUETTE, SUITE 1G, DAVENPORT, IA 52806-4445
(563) 391-8117
Mailing address
3901 MARQUETTE ST, SUITE 1G, DAVENPORT, IA 52806-4445
(563) 391-8117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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