NPI 1215796701
Brightstar Health Care Services LLC
Practice location
- Address
- 5029 Randolph Ave NE, Otsego, MN 55374-4971
- Phone
- (651) 278-1417
Authorised official
- Name
- Mohamed Ibrahim Mohamud
- Title
- Manager
- Phone
- (651) 278-1417
Registered specialties
Home Health Agency
Primary
Registry record
- NPI
- 1215796701
- Entity type
- Organization
- NPI issued
- 18 Mar 2024
- Record last updated
- 18 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.