# GREATER LIGHT HOME HEALTH CARE LLC

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

## Provider details

- **NPI number:** 1194268573
- **Authorized official:** KELVIN JONGO (OWNER)
- **Authorized official phone:** (240) 222-2828

## Contact information

- **Practice address:** 5680 KING CENTRE DR, SUITE 600, ALEXANDRIA, VA 22315-5757
- **Practice address phone:** (240) 222-2828
- **Mailing address:** 3300 TOTTEN HOLLOW PL, WHITE PLAINS, MD 20695-4452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/02/2016
- **Last updated:** 12/02/2016