Organization
LIGHT AND LIFE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVY LUALHATI REYES (OWNER/FOUNDER/ADMINISTRATOR)
(917) 544-4180
Entity
Organization
Contact information
Practice address
362 LUM AVE, UNION, NJ 07083-7515
(917) 544-4180
Mailing address
362 LUM AVE, UNION, NJ 07083-7515
(917) 544-4180
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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