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General NPI Number Information
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NPI Number | 1174469068
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Entity Type | Organization
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Legal Business Name | LIGHT HOME CARE
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 542 E 24TH ST FL 1
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City | ERIE
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State | PA
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Zip | 16503-2060
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Country | US
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Telephone | 814-844-1772
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 E 38TH ST UNIT 10282
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City | ERIE
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State | PA
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Zip | 16514-7008
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Country | US
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Telephone | 814-844-1772
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Fax |
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Authorized Official
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Title or Position | DIALECT
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Name | MR. MONGA KATENDE JR.
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Credential |
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Telephone | 814-844-1772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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