Organization
BRIGHT FUTURES RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIRAOLI FOGE USHA (OWNER)
(612) 369-7570
Entity
Organization
Contact information
Practice address
17942 HAWKSBILL DR, LAKEVILLE, MN 55044-4997
(612) 369-7570
Mailing address
17942 HAWKSBILL DR, LAKEVILLE, MN 55044-4997
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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