Organization
GREATER LIGHT HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN JONGO (OWNER)
(240) 222-2828
Entity
Organization
Contact information
Practice address
5680 KING CENTRE DR, SUITE 600, ALEXANDRIA, VA 22315-5757
(240) 222-2828
Mailing address
3300 TOTTEN HOLLOW PL, WHITE PLAINS, MD 20695-4452
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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