Organization
LIGHT LIVING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASLAH OSMAN (PRESIDENT)
(612) 434-8437
Entity
Organization
Contact information
Practice address
2610 E 32ND ST, MINNEAPOLIS, MN 55406-1905
(612) 434-8437
Mailing address
2610 E 32ND ST, MINNEAPOLIS, MN 55406-1905
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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