MEDICARE: BRIGHT POINT PLACE INC.

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
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1134555253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT POINT PLACE INC.

Provider Business Mailing Address
First Line	:	3658 WALES DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-1845
Country	:	US
Telephone Number	:	937-274-2842
Fax Number	:

Provider Business Practice Location Address
First Line	:	3658 WALES DR
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45405-1845
Country	:	US
Telephone Number	:	937-274-2842
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. CYNTHIA REID PORTER
Credential	:
Telephone Number	:	937-274-2842

Provider Enumeration Date	:	09/20/2013
Last Update Date	:	09/20/2013

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Directions to “BRIGHT POINT PLACE INC. ” Practice Location

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