Healthcare Provider Details

I. General information

NPI: 1356918007
Provider Name (Legal Business Name): THE LEARNABILITY NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2021
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 PILLSBURY AVE S
MINNEAPOLIS MN
55408-3740
US

IV. Provider business mailing address

11605 61ST AVE N
PLYMOUTH MN
55442-1209
US

V. Phone/Fax

Practice location:
  • Phone: 612-283-1522
  • Fax:
Mailing address:
  • Phone: 612-283-1522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CALLI HARRISON BROWN
Title or Position: FOUNDER, INTERIM EXECUTIVE DIRECTOR
Credential:
Phone: 612-283-1522