| New Light Services Inc | |
|
3026 15th Ave S Saint Cloud MN 56301-5688 | |
| (424) 313-4938 | |
| Not Available |
| Full Name | New Light Services Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3026 15th Ave S, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Khalid Mohamud (CEO) |
| Authorized Official Contact | 4243134938 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Light Services Inc 8075 Eden Prairie Rd Apt 245 Eden Prairie MN 55347-3303 Ph: (424) 313-4938 | New Light Services Inc 3026 15th Ave S Saint Cloud MN 56301-5688 Ph: (424) 313-4938 |
| NPI Number | 1245026145 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Certification Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245026145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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