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NPI Code Detail

MEDICARE: RAYNA L KING

MEDICARE:   RAYNA L KING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1467114637
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYNA L KING
Provider Business Mailing Address
First Line : 2005 CALUMET AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-1608
Country : US
Telephone Number : 419-467-6970
Fax Number :
Provider Business Practice Location Address
First Line : 2005 CALUMET AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43607-1608
Country : US
Telephone Number : 419-467-6970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2021
Last Update Date : 10/06/2021

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Directions to “ RAYNA L KING ” Practice Location

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