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General NPI Number Information
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NPI Number | 1922997709
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Entity Type | Organization
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Legal Business Name | RAYS OF LIGHT
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4288 W JEFFERSON AVE
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City | ECORSE
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State | MI
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Zip | 48229-1558
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Country | US
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Telephone | 734-612-3318
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 871823
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City | CANTON
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State | MI
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Zip | 48187-7523
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Country | US
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Telephone | 734-612-3318
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DARIAN MOORE
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Credential |
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Telephone | 734-612-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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