Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Case Management |
163WC0400X | |||
Community Health |
163WC1500X | |||
Community Health |
363LC1500X | 50 | Nurse Practitioner | |
Diabetes Educator |
163WD0400X | |||
General Practice |
163WG0000X | |||
Nutrition Support |
163WN1003X |
| NPI Number | 1740705458 |
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| LBN Legal business name | GREENLIGHT HEALTH | ||||||||||||
| Authorized official | JEANNELLE ERNEST-HILL - (FOUNDER/PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 08/03/2017 | ||||||||||||
| Last updated | 08/03/2017 - About 9 years ago | ||||||||||||
| Identifiers |
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GREENLIGHT HEALTH
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