<Unavail>

LBN: Bridge Light Recovery Llc
<Unavail> is an health care organization with primary practice located at 7365 Howard Ln Apt 236 , Eden Prairie MN 55346-3038. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Bridge Light Recovery Llc can be contacted via phone (612) 598-5484, or through Mohamed, Faduma via phone (612) 598-5484.

Contact Information

Primary practice address
7365 Howard Ln Apt 236 Eden Prairie MN 55346-3038
Phone: (612) 598-5484
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Faduma
Phone: (612) 598-5484

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Null

Profile Details

NPI number 1861305039
LBN Legal business name Bridge Light Recovery Llc
DBA Doing business as <Unavail>
Authorized official Mohamed, Faduma
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2026
Last updated Sep 28th, 2026 - about last month

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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