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Contact Information

BRIGHT LIGHT CENTER
9217 17TH AVE S STE 214
BLOOMINGTON, MN55425-2372
 Phone: 952-228-3797
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for BRIGHT LIGHT CENTER

NPI # 1215542170
LBN Legal business name BRIGHT LIGHT CENTER
Authorized official SALMO ABDIKARIM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2020
Last updated 09/09/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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