Organization
CENTER LIGHT HOME SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMILLET GONZALEZ (CEO)
(305) 798-6440
Entity
Organization
Contact information
Practice address
8820 SW 132ND PL APT 209, MIAMI, FL 33186-1698
(305) 798-6440
Mailing address
8820 SW 132ND PL APT 209, MIAMI, FL 33186-1698
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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