Provider Demographics
NPI:1538448311
Name:LIGHT & LOVE HOME
Entity type:Organization
Organization Name:LIGHT & LOVE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:YUK
Authorized Official - Last Name:HUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-686-7798
Mailing Address - Street 1:812 54TH ST
Mailing Address - Street 2:5FL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3268
Mailing Address - Country:US
Mailing Address - Phone:718-686-7798
Mailing Address - Fax:718-686-7298
Practice Address - Street 1:812 54TH ST
Practice Address - Street 2:5FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3268
Practice Address - Country:US
Practice Address - Phone:718-686-7798
Practice Address - Fax:718-686-7298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty