Organization · NPI-2

Amazing Light Hospice INC

Hospice Care, Community Based · El Paso, TX

NPI number1689248601
StatusActive
Last updated in NPPESMay 14, 2021

Details

NPI
1689248601
Entity type
Organization (NPI-2)
Legal business name
Amazing Light Hospice INC
Organization subpart
No
Enumeration date
May 14, 2021
Certification date
May 14, 2021
Last updated
May 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251G00000X Hospice Care, Community Based––Yes

Practice location

921 Las Aves Pl
El Paso, TX 79912-7326

Phone 915-587-4968

Mailing address

921 Las Aves Pl
El Paso, TX 79912-7326

Phone 915-587-4968

Authorized official

Michael Oyetunde
Ceo/ Administrator
9158679391

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