Organization
PLEASANT LIGHT LLC
Active
Organization
PLEASANT LIGHT LLC
Active
Parent organization
PLEASANT LIGHT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLEASANT LIGHT LLC
Authorized official
MR. JOSPHAT NYAMBATI OMARI (ADMINISTRATOR)
(651) 500-8335
Entity
Organization
Contact information
Practice address
7765 DALEVIEW DR, BROOKLYN PARK, MN 55443-3330
(651) 500-8335
Mailing address
14501 GRAND AVE APT 529, BURNSVILLE, MN 55306-6604
(651) 500-8335
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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