Organization
BRIGHT STARS SUPPORT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL HAJI (OWNER)
(763) 415-2568
Entity
Organization
Contact information
Practice address
800 EVERGREEN DR APT 101, BURNSVILLE, MN 55337-4667
(763) 415-2568
Mailing address
800 EVERGREEN DR APT 101, BURNSVILLE, MN 55337-4667
(763) 415-2568
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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