# AUSOME DEVELOPMENT CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255092805
- **Authorized official:** GULLED HODLEH (CEO)
- **Authorized official phone:** (612) 987-8022

## Contact information

- **Practice address:** 5624 LINCOLN DR STE 295, EDINA, MN 55436-1606
- **Practice address phone:** (612) 987-8022
- **Practice address fax:** (612) 465-1788
- **Mailing address:** 5624 LINCOLN DR STE 295, EDINA, MN 55436-1606
- **Mailing address phone:** (612) 987-8022
- **Mailing address fax:** (612) 465-1788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2022
- **Last updated:** 01/09/2023