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NPI Code Detail

MEDICARE: CHILDREN EARLY LEARNING AND DEVELOPMENT CENTER LLC

MEDICARE: CHILDREN EARLY LEARNING AND DEVELOPMENT CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1851036875
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILDREN EARLY LEARNING AND DEVELOPMENT CENTER LLC
Provider Business Mailing Address
First Line : 1627 WHITE BEAR AVE N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-1609
Country : US
Telephone Number : 651-278-7319
Fax Number :
Provider Business Practice Location Address
First Line : 1627 WHITE BEAR AVE N
Second Line :
City : SAINT PAUL
State : MN
Zip : 55106-1609
Country : US
Telephone Number : 651-278-7319
Fax Number :
Authorized Official
Title or Position : GENERAL MANAGER
Name : SEBLE LEMMA
Credential : RN
Telephone Number : 651-278-7319
Provider Enumeration Date : 05/03/2022
Last Update Date : 05/03/2022

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Directions to “CHILDREN EARLY LEARNING AND DEVELOPMENT CENTER LLC ” Practice Location

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