Organization
SHINING LIGHT LLC
Active
Organization
SHINING LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL VENERACION RN (ADMINISTRATOR)
(702) 906-0044
Entity
Organization
Contact information
Practice address
3265 N FORT APACHE RD STE 150, LAS VEGAS, NV 89129
(702) 906-0044
(702) 800-4651
Mailing address
9811 W CHARLESTON BLVD # 2-441, LAS VEGAS, NV 89117-7528
(702) 420-7704
(702) 800-4651
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
12/03/2024
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