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Organization
LIGHT REIGN
Active
Organization
LIGHT REIGN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS BOYD RN (REGISTERED NURSE)
(937) 242-8958
Entity
Organization
Contact information
Practice address
5027 BROCK LN, DAYTON, OH 45415-3429
(937) 242-8958
Mailing address
5027 BROCK LN, DAYTON, OH 45415-3429
(937) 242-8958
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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