Organization
BRIGHSTAR HOME HEALTH CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILHAM A HUSSEIN BACHOLAR'S DEGREE (PRESIDENT)
(612) 221-1986
Entity
Organization
Contact information
Practice address
1808 RIVERSIDE AVE STE 205, MINNEAPOLIS, MN 55454-1121
(612) 221-1986
(612) 673-0379
Mailing address
1808 RIVERSIDE AVE STE 205, MINNEAPOLIS, MN 55454-1121
(612) 221-1986
(612) 673-0379
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
31934
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31934
MINNESOTA DEPARTMENT OF HEALTH
MN
Enumeration date
11/13/2015
Last updated
08/31/2016
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