Organization
GOLDEN BRIGHT HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHIA MOHAMED SIAD (OWNER)
(763) 732-2269
Entity
Organization
Contact information
Practice address
2842 RALEIGH AVE, SAINT LOUIS PARK, MN 55416-1967
(763) 732-2269
Mailing address
2842 RALEIGH AVE, SAINT LOUIS PARK, MN 55416-1967
(763) 732-2269
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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