Organization
BEACON STARS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAID MUHUMED (MANAGING DIRECTOR)
(612) 483-9370
Entity
Organization
Contact information
Practice address
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344-7705
(612) 483-9370
Mailing address
6385 OLD SHADY OAK RD, EDEN PRAIRIE, MN 55344-3299
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/31/2024
Last updated
09/05/2024
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