Organization
EVERBLOOM INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMRIIL SAMATAR (MANAGER)
(612) 702-7316
Entity
Organization
Contact information
Practice address
913 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-4069
(612) 702-7316
Mailing address
913 PLYMOUTH AVE N, MINNEAPOLIS, MN 55411-4069
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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