Elegant LLC
NPI #1285521559 in West Saint Paul, Minnesota
Provider Information
- NPI Number
- 1285521559
- Entity Type
- Organization
- Organization Name
- Elegant LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jun 19, 2025
- Last Updated
- Jun 19, 2025
Practice Location
- Address
- 260 WENTWORTH AVE E STE 105
- City
- West Saint Paul
- State
- Minnesota
- ZIP Code
- 55118-3525
- Phone
- (763) 607-9377
Authorized Official
- Name
- HASSAN M MOHAMED
- Title
- MANAGER
- Phone
- (763) 607-9377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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