# LIFE AND LIGHT THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFE AND LIGHT HEALTHCARE SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578480117
- **Legal business name:** LIFE AND LIGHT HEALTHCARE SERVICES LLC
- **Authorized official:** ABIMBOLA ADEWUMI BSN (DIRECTOR)
- **Authorized official phone:** (443) 854-3059

## Contact information

- **Practice address:** 413 LYMAN AVE, BALTIMORE, MD 21212-3512
- **Practice address phone:** (443) 854-3059
- **Practice address fax:** (443) 869-2525
- **Mailing address:** 413 LYMAN AVE, BALTIMORE, MD 21212-3512
- **Mailing address phone:** (443) 854-3059
- **Mailing address fax:** (443) 869-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2026
- **Last updated:** 10/16/2026