Shining Light Care LLC

NPI #1104618404 in Rogers, Minnesota

Provider Information

NPI Number: 1104618404
Entity Type: Organization
Organization Name: Shining Light Care LLC
Primary Specialty: Case Management
Enumeration Date: May 21, 2025
Last Updated: May 21, 2025

Practice Location

Address: 20270 MALLARD WAY
City: Rogers
State: Minnesota
ZIP Code: 55374-8716
Phone: (612) 701-2669

Authorized Official

Name: ANITA NAIN FONDIKUM
Title: CEO
Phone: (612) 701-2669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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