Provider Demographics
NPI:1063589414
Name:MORNING LIGHT, INC., OF TEXAS
Entity type:Organization
Organization Name:MORNING LIGHT, INC., OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-934-8516
Mailing Address - Street 1:202 NATHAN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-6247
Mailing Address - Country:US
Mailing Address - Phone:903-934-8516
Mailing Address - Fax:903-934-8484
Practice Address - Street 1:202 NATHAN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75670-6247
Practice Address - Country:US
Practice Address - Phone:903-934-8516
Practice Address - Fax:903-934-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115209315P00000X
TX117898315P00000X
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Not Answered251B00000XAgenciesCase Management