OrganizationActive
Bright Light Center
NPI 1215542170 · Developmental Disabilities Clinic/Center · Bloomington, MN
Provider details
- NPI number
- 1215542170
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Salmo Abdikarim, Ceo(952) 228-3797
Specialties & taxonomies
Ambulatory Health Care Facilities
- Early Intervention Provider Agency252Y00000X
Agencies
Practice location
9217 17th Ave S Ste 214
Bloomington, MN 55425-2372
Phone: (952) 228-3797
Approximate (ZIP-level) locationGet directions
Mailing address
9217 17th Ave S Ste 214
Bloomington, MN 55425-2372
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-09-09
- Certified
- 2020-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.