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Organization
SHINE BRIGHT CARE LLC
Active
Organization
SHINE BRIGHT CARE LLC
Active
Other names
Shine Bright Care
Organization subpart
No
Provider details
NPI number
Authorized official
BAYKHAM KEODOUANGDY (PROGRAM ADMINISTRATOR)
(907) 346-6200
Entity
Organization
Contact information
Practice address
400 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-3877
(907) 250-9935
Mailing address
400 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-3877
(907) 250-9935
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
09/06/2024
Last updated
01/23/2025
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