Organization
GLOWING LANTERN HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE T SIMES RN MSN (CEO)
(919) 935-3192
Entity
Organization
Contact information
Practice address
344 LUCKY RIBBON LN, HOLLY SPRINGS, NC 27540-6158
(919) 935-3192
Mailing address
344 LUCKY RIBBON LN, HOLLY SPRINGS, NC 27540-6158
(919) 935-3192
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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