# ELITE CHILD DEVELOPMENT CENTER INC

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

## Provider details

- **NPI number:** 1528672243
- **Authorized official:** HANA F DIRIE (OWNER)
- **Authorized official phone:** (952) 393-0559

## Contact information

- **Practice address:** 3860 MOLINA ST, SHAKOPEE, MN 55379-5449
- **Practice address phone:** (612) 203-3147
- **Mailing address:** 3860 MOLINA ST, SHAKOPEE, MN 55379-5449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |
| 261QM3000X | Medically Fragile Infants and Children Day Care | — | NULL | — |

## Other

- **Enumeration date:** 09/01/2020
- **Last updated:** 09/01/2020