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Organization

EVELAKE, INC.

Active
Other names
Evelake
Organization subpart
No

Provider details

NPI number
Authorized official
ILHAN AHMED (CEO)
(612) 200-7058
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
02/14/2024
Last updated
02/14/2024
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