Organization
BRIGHT LIGHT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALMO A ABDIKARIM (CEO)
(952) 228-3797
Entity
Organization
Contact information
Practice address
9217 17TH AVE S STE 214, BLOOMINGTON, MN 55425-2372
(952) 228-3797
Mailing address
9217 17TH AVE S STE 214, BLOOMINGTON, MN 55425-2372
(952) 228-3797
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/09/2020
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