Provider Demographics
NPI:1891537346
Name:GUIDING LIGHT HOSPICE SW, LLC
Entity type:Organization
Organization Name:GUIDING LIGHT HOSPICE SW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-263-1156
Mailing Address - Street 1:8 SAVANNAH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2503
Mailing Address - Country:US
Mailing Address - Phone:470-507-4822
Mailing Address - Fax:470-507-4823
Practice Address - Street 1:8 SAVANNAH ST STE 102
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-2503
Practice Address - Country:US
Practice Address - Phone:470-507-4822
Practice Address - Fax:470-507-4823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based