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Organization

HARBOR LIGHT HEALTH INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATT A GELSO (PRESIDENT)
(734) 915-7245
Entity
Organization

Contact information

Practice address
49 S MONROE ST, SUITE A, MONROE, MI 48161-2476
(734) 568-0402
(888) 377-9120
Mailing address
49 S MONROE ST, SUITE A, MONROE, MI 48161-2476
(734) 568-0402
(888) 377-9120

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4704197498
MI
251F00000X
Home Infusion Agency
4704197498
MI
251G00000X
Community Based Hospice Care Agency
4704197498
MI
251J00000X
Nursing Care Agency
4704197498
MI
253Z00000X
In Home Supportive Care Agency
4704197498
MI
302R00000X
Health Maintenance Organization
4704197498
MI
305R00000X
Preferred Provider Organization
4704197498
MI
385H00000X
Respite Care
4704197498
MI

Other

Enumeration date
02/12/2009
Last updated
02/07/2011
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