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Organization

SHINE BRIGHT CARE, LLC

Active
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Organization

SHINE BRIGHT CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BAYKHAM KEODOUANGDY (CEO)
(907) 250-9935
Entity
Organization

Contact information

Practice address
400 W NORTHERNLIGHTS BLVD, STE 3, ANCHORAGE, AK 99503-3877
(907) 346-6200
Mailing address
400 W NORTHERNLIGHTS BLVD, ANCHORAGE, AK 99507-2149
(907) 250-9935

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1039501
AK
253Z00000X
In Home Supportive Care Agency
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3747P1801X
Personal Care Attendant

Other

Enumeration date
01/03/2017
Last updated
03/04/2025
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