# HARBOR LIGHT HEALTH INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134368244
- **Authorized official:** MR. MATT A GELSO (PRESIDENT)
- **Authorized official phone:** (734) 915-7245

## Contact information

- **Practice address:** 49 S MONROE ST, SUITE A, MONROE, MI 48161-2476
- **Practice address phone:** (734) 568-0402
- **Practice address fax:** (888) 377-9120
- **Mailing address:** 49 S MONROE ST, SUITE A, MONROE, MI 48161-2476
- **Mailing address phone:** (734) 568-0402
- **Mailing address fax:** (888) 377-9120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4704197498 | MI | Yes |
| 251F00000X | Home Infusion Agency | 4704197498 | MI | — |
| 251G00000X | Community Based Hospice Care Agency | 4704197498 | MI | — |
| 251J00000X | Nursing Care Agency | 4704197498 | MI | — |
| 253Z00000X | In Home Supportive Care Agency | 4704197498 | MI | — |
| 302R00000X | Health Maintenance Organization | 4704197498 | MI | — |
| 305R00000X | Preferred Provider Organization | 4704197498 | MI | — |
| 385H00000X | Respite Care | 4704197498 | MI | — |

## Other

- **Enumeration date:** 02/12/2009
- **Last updated:** 02/07/2011