# GREEN LIGHT HOME CARE LLC

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

## Provider details

- **NPI number:** 1255792289
- **Authorized official:** WILSON AIHARA (PRESIDENT)
- **Authorized official phone:** (630) 485-0210

## Contact information

- **Practice address:** 11555 HERON BAY BLVD, SUITE 200, CORAL SPRINGS, FL 33076-3360
- **Practice address phone:** (954) 234-2992
- **Mailing address:** 11555 HERON BAY BLVD, SUITE 200, CORAL SPRINGS, FL 33076-3360

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016
