Provider Demographics
NPI:1578929725
Name:LAURA'S LIGHT HOME HEALTH CARE N REHAB SERVICES LLC
Entity Type:Organization
Organization Name:LAURA'S LIGHT HOME HEALTH CARE N REHAB SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBAI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:419-481-1621
Mailing Address - Street 1:1715 INDIAN WOOD CIR FL 2
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-4055
Mailing Address - Country:US
Mailing Address - Phone:419-897-9701
Mailing Address - Fax:419-740-8401
Practice Address - Street 1:1715 INDIAN WOOD CIR FL 2
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-4055
Practice Address - Country:US
Practice Address - Phone:419-897-9701
Practice Address - Fax:419-740-8401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3839727251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health