Organization
ABIDING LIGHT HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANILLE CLARKE DAVIS RN, COTA (CHIEF EXECUTIVE OFFICER)
(512) 850-6818
Entity
Organization
Contact information
Practice address
16225 PARK TEN PL STE 500, HOUSTON, TX 77084-5152
(512) 850-6818
Mailing address
16225 PARK TEN PL STE 500, HOUSTON, TX 77084-5152
(512) 850-6818
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/15/2023
Last updated
03/13/2025
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