Organization
GREENELIGHT WORKFORCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARISSE LILLIAN ALI (CEO/OWNER)
(440) 998-5820
Entity
Organization
Contact information
Practice address
1440 W PROSPECT RD, ASHTABULA, OH 44004-6668
(440) 998-5820
(440) 998-5820
Mailing address
1440 W PROSPECT RD, ASHTABULA, OH 44004-6668
(440) 998-5820
(440) 998-5820
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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