Organization
GREEN LIGHTENING HEALTHCARE
Active
Other names
Green Lightening Companion Service
Organization subpart
No
Provider details
NPI number
Authorized official
LATRAILLE D GREEN (CEO/OWNER)
(813) 680-6633
Entity
Organization
Contact information
Practice address
4014 E HENRY AVE, TAMPA, FL 33610-3820
(813) 680-6633
(888) 343-9196
Mailing address
4014 E HENRY AVE, TAMPA, FL 33610-3820
(813) 680-6633
(888) 343-9196
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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