Organization
GUIDING LIGHT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELVIN AUNDRA RICE (DIRECTOR)
(704) 361-1999
Entity
Organization
Contact information
Practice address
1205 N PINE ST, LUMBERTON, NC 28358-4711
(910) 738-4095
Mailing address
PO BOX 42308, CHARLOTTE, NC 28215-0006
(704) 361-1999
(704) 409-4877
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301608
—
NC
05
—
8301608B
—
NC
05
—
8301608G
—
NC
Enumeration date
02/14/2007
Last updated
08/10/2007
Update your record
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