Organization
BRIGHTHOUSE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMANN N AJONG (OWNER)
(763) 843-1055
Entity
Organization
Contact information
Practice address
15451 SCHERBER LN N, MAPLE GROVE, MN 55369-2678
(763) 843-1055
Mailing address
15451 SCHERBER LN N, MAPLE GROVE, MN 55369-2678
(763) 843-1055
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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