Organization
BRIGHTSTAR HEALTH CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED IBRAHIM MOHAMUD (MANAGER)
(651) 278-1417
Entity
Organization
Contact information
Practice address
5029 RANDOLPH AVE NE, OTSEGO, MN 55374-4971
(651) 278-1417
Mailing address
5029 RANDOLPH AVE NE, OTSEGO, MN 55374-4971
(651) 278-1417
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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