Organization
LIGHT THE WAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS J THISTLEWOOD (DIRECTOR)
(618) 524-3653
Entity
Organization
Contact information
Practice address
306 W 8TH ST APT D, METROPOLIS, IL 62960-1656
(618) 524-3653
(618) 524-4769
Mailing address
306 W 8TH ST APT D, METROPOLIS, IL 62960-1656
(618) 524-3653
(618) 524-4769
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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