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Organization
BRIGHT STAR COMMUNITY SERVICE
Active
Organization
BRIGHT STAR COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOSA Y HUSSEIN (OWNER)
(952) 221-8515
Entity
Organization
Contact information
Practice address
14735 105TH PL N, MAPLE GROVE, MN 55369
(952) 221-8515
Mailing address
14735 105TH PL N, MAPLE GROVE, MN 55369
(952) 221-8515
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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