# AMERICAN LIGHT HOMECARE SERVICES

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

## Provider details

- **NPI number:** 1235678681
- **Authorized official:** HENRY LUBEGA REGISTERED NURSE (ADMINISTRATOR)
- **Authorized official phone:** (775) 210-0142

## Contact information

- **Practice address:** 309 MOODY ST FL 2, WALTHAM, MA 02453-5206
- **Practice address phone:** (775) 338-0442
- **Practice address fax:** (775) 210-0142
- **Mailing address:** 46 ELSON RD, WALTHAM, MA 02451-0715
- **Mailing address phone:** (775) 210-0142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | RN2303312 | MA | Yes |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 02/17/2017