Organization
GREEN LIGHT HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON AIHARA (PRESIDENT)
(630) 485-0210
Entity
Organization
Contact information
Practice address
11555 HERON BAY BLVD, SUITE 200, CORAL SPRINGS, FL 33076-3360
(954) 234-2992
Mailing address
11555 HERON BAY BLVD, SUITE 200, CORAL SPRINGS, FL 33076-3360
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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