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NPI 1376824953 · Early Intervention Provider Agency · Minneapolis, MN
Provider details
- NPI number
- 1376824953
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Amanda Grant, Oprations Executive(612) 284-2070
- License
- 1721311 (MN)
Specialties & taxonomies
Agencies
Practice location
314 Clifton Ave Ste 20
Minneapolis, MN 55403-3384
Phone: (800) 468-1917
Fax: (612) 284-6969
Approximate (ZIP-level) locationGet directions
Mailing address
314 Clifton Ave Ste 20
Minneapolis, MN 55403-3384
Registry dates
- Enumerated
- 2011-09-08
- Last updated
- 2011-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.