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Organization
GREATLIGHT HOMECARE LLC
Active
Organization
GREATLIGHT HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUSEGUN OLATUNJI (PRESIDENT)
(301) 604-4125
Entity
Organization
Contact information
Practice address
9101 CHERRY LN STE 110, LAUREL, MD 20708-1150
(301) 604-4125
Mailing address
9101 CHERRY LN STE 110, LAUREL, MD 20708-1150
(301) 604-4125
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
09/17/2020
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