Organization · NPI-2
Broombright Solutions LLC
Home Health · Moorhead, MN
NPI number1225800683
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1225800683
- Entity type
- Organization (NPI-2)
- Legal business name
- Broombright Solutions LLC
- Organization subpart
- No
- Enumeration date
- Oct 27, 2023
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
819 30th Ave S Ste 107aMoorhead, MN 56560-5000
Phone 701-729-1001
Mailing address
819 30th Ave S Ste 107aMoorhead, MN 56560-5000
Phone 701-729-1001
Authorized official
Hukun A Dabar
Ceo
7017291001
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