Organization
FIRSTLIGHT DEVELOPMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYLA AHMED (MANAGER)
(612) 528-4403
Entity
Organization
Contact information
Practice address
257 CIMARRON RD, SAINT PAUL, MN 55124-9726
(612) 528-4403
Mailing address
257 CIMARRON RD, SAINT PAUL, MN 55124-9726
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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