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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