Provider Demographics
NPI:1215681879
Name:GUIDING LIGHT HOME CARE LLC
Entity type:Organization
Organization Name:GUIDING LIGHT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROXANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESKRIDGE-GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-833-8979
Mailing Address - Street 1:29217 FORD RD STE 115
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2890
Mailing Address - Country:US
Mailing Address - Phone:734-956-6327
Mailing Address - Fax:734-956-6362
Practice Address - Street 1:29217 FORD RD STE 115
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2890
Practice Address - Country:US
Practice Address - Phone:734-956-6327
Practice Address - Fax:734-956-6362
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUIDING LIGHT HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory