| Organization Name: | SOUTHLIGHT HEALTHCARE |
| NPI Number: | 1487821104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REYNOLDS C CLODFELTER (CEO) |
| Mailing Address: | 2101 Garner Rd Raleigh |
| State: | NC US |
| Postal Code: | 276104687 |
| Phone Number: | 9198324453 |
| Fax Number: | 9198291357 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 04/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163W00000X |
| License Number: | 161246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |