Organization
EVIDENT SOCIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NCHE MOU-BAYONG (OWNER)
(651) 300-0140
Entity
Organization
Contact information
Practice address
940 HASTINGS AVE, ST PAUL PARK, MN 55071-1315
(651) 300-0140
Mailing address
940 HASTINGS AVE, ST PAUL PARK, MN 55071-1315
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
07/10/2025
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