Organization
EVERBRIGHT SPECTRUM SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI KOFIRO (CO-OWNER)
(612) 961-2491
Entity
Organization
Contact information
Practice address
100 FULLER ST S STE 270, SHAKOPEE, MN 55379-1348
(612) 961-2491
Mailing address
100 FULLER ST S STE 270, SHAKOPEE, MN 55379-1348
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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