Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LIGHT RESIDENTIAL SERVICE LLC
Active
Organization
LIGHT RESIDENTIAL SERVICE LLC
Active
Other names
Light Residential Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MULUSEW GETIE KEBTIE RN, BSN, MSC (DIRECTOR)
(301) 633-9649
Entity
Organization
Contact information
Practice address
16730 BUCKINGHAM DR, GLADSTONE, OR 97027-1044
(301) 633-9649
(503) 344-6669
Mailing address
16730 BUCKINGHAM DR, GLADSTONE, OR 97027-1044
(301) 633-9649
(503) 344-6669
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up