# EVELAKE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evelake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770348294
- **Authorized official:** ILHAN AHMED (CEO)
- **Authorized official phone:** (612) 200-7058

## Contact information

- **Practice address:** 8030 OLD CEDAR AVE S STE 110, BLOOMINGTON, MN 55425-1214
- **Practice address phone:** (612) 200-7058
- **Practice address fax:** (952) 426-4935
- **Mailing address:** 8030 OLD CEDAR AVE S STE 110, BLOOMINGTON, MN 55425-1214
- **Mailing address phone:** (612) 200-7058
- **Mailing address fax:** (952) 426-4935

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 02/14/2024