Organization
PATH OF LIGHT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN OMBIRO (CEO)
(612) 998-3357
Entity
Organization
Contact information
Practice address
5950 W 136TH LN, SAVAGE, MN 55378-2481
(612) 998-3357
Mailing address
5950 W 136TH LN, SAVAGE, MN 55378-2481
(612) 998-3357
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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