Evelake, Inc.
NPI #1770348294 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1770348294
- Entity Type
- Organization
- Organization Name
- Evelake, Inc.
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 14, 2024
- Last Updated
- Feb 14, 2024
Practice Location
- Address
- 8030 OLD CEDAR AVE S STE 110
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-1214
- Phone
- (612) 200-7058
Authorized Official
- Name
- ILHAN AHMED
- Title
- CEO
- Phone
- (612) 200-7058
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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