Organization
FAITH'S SHINING LIGHT HOME HEALTH CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DAMETZ RN (OWNER/PRESIDENT)
(512) 517-0426
Entity
Organization
Contact information
Practice address
3300 LUMINOSO LN E, ROUND ROCK, TX 78681-2336
(512) 517-0426
Mailing address
3300 LUMINOSO LN E, ROUND ROCK, TX 78681-2336
(512) 517-0426
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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