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Organization
THE LIGHT TIME GIFT HEALTH CARE
Active
Organization
THE LIGHT TIME GIFT HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UNUAGBON QUEENSLEY TOBI (CEO)
(978) 876-1065
Entity
Organization
Contact information
Practice address
140 SCHOOL ST, BROCKTON, MA 02302-3114
(978) 876-1065
Mailing address
140 SCHOOL ST, BROCKTON, MA 02302-3114
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
001220301
MA
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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