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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