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Organization
LIGHT HOME CARE SERVICES LLC
Active
Organization
LIGHT HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIZA NKWENJE (CEO)
(240) 660-8636
Entity
Organization
Contact information
Practice address
7600 GEORGIA AVE NW STE 412D, WASHINGTON, DC 20012-1616
(240) 660-8636
Mailing address
7600 GEORGIA AVE NW STE 412D, WASHINGTON, DC 20012-1616
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
NULL
320800000X
Mental Illness Community Based Residential Treatment Facility
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
372500000X
Chore Provider
—
NULL
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
NULL
376J00000X
Homemaker
—
—
385HR2055X
Child Mental Illness Respite Care
—
NULL
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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