Organization
GRACE & GROWTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEKO AMIR SALIM (OWNER)
(651) 775-2334
Entity
Organization
Contact information
Practice address
808 BERRY ST APT 154, SAINT PAUL, MN 55114-1390
(651) 775-2334
Mailing address
808 BERRY ST APT 154, SAINT PAUL, MN 55114-1390
(651) 775-2334
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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