| Organization Name: | LIGHT HORSE HEALTHCARE INC |
| NPI Number: | 1174899454 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLENE H TAYLOR (EXE DIRECTOR) |
| Mailing Address: | 2060 Dan Proctor Drive Suite 3300 St Marys |
| State: | GA US |
| Postal Code: | 31558 |
| Phone Number: | 9128823800 |
| Fax Number: | 9128823303 |
| NPI Enumeration Date: | 03/30/2012 |
| NPI Last Update Date: | 11/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |