Organization
LIFE AND LIGHT HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIMBOLA YEWANDE ADEWUMI RN (DIRECTOR OF NURSING)
(443) 854-3059
Entity
Organization
Contact information
Practice address
413 LYMAN AVE, BALTIMORE, MD 21212-3512
(443) 854-3059
(443) 869-2547
Mailing address
413 LYMAN AVE, BALTIMORE, MD 21212-3512
(443) 854-3059
(443) 869-2525
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16527063
CAQH
MD
05
—
487259200
—
MD
Enumeration date
06/17/2025
Last updated
01/22/2026
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