Healthcare Provider Details

I. General information

NPI: 1134555253
Provider Name (Legal Business Name): BRIGHT POINT PLACE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 09/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3658 WALES DR
DAYTON OH
45405-1845
US

IV. Provider business mailing address

3658 WALES DR
DAYTON OH
45405-1845
US

V. Phone/Fax

Practice location:
  • Phone: 937-274-2842
  • Fax:
Mailing address:
  • Phone: 937-274-2842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA REID PORTER
Title or Position: PRESIDENT
Credential:
Phone: 937-274-2842