# LIGHT AND LIFE HOME CARE LLC

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

## Provider details

- **NPI number:** 1720832843
- **Authorized official:** MRS. IVY LUALHATI REYES (OWNER/FOUNDER/ADMINISTRATOR)
- **Authorized official phone:** (917) 544-4180

## Contact information

- **Practice address:** 362 LUM AVE, UNION, NJ 07083-7515
- **Practice address phone:** (917) 544-4180
- **Mailing address:** 362 LUM AVE, UNION, NJ 07083-7515
- **Mailing address phone:** (917) 544-4180

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 04/15/2024