Organization
GREEN LIGHT
Active
Other names
GREEN LIGHT
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNY OPUTA (CEO)
(281) 691-5725
Entity
Organization
Contact information
Practice address
12714 RACHELS WAY, MISSOURI CITY, TX 77489-8004
(281) 691-5725
Mailing address
12714 RACHELS WAY, MISSOURI CITY, TX 77489-8004
(281) 691-5725
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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