Organization
AMERICAN LIGHT HOMECARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LUBEGA REGISTERED NURSE (ADMINISTRATOR)
(775) 210-0142
Entity
Organization
Contact information
Practice address
309 MOODY ST FL 2, WALTHAM, MA 02453-5206
(775) 338-0442
(775) 210-0142
Mailing address
46 ELSON RD, WALTHAM, MA 02451-0715
(775) 210-0142
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
RN2303312
MA
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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