Provider Demographics
NPI:1851036875
Name:CHILDREN EARLY LEARNING AND DEVELOPMENT CENTER LLC
Entity type:Organization
Organization Name:CHILDREN EARLY LEARNING AND DEVELOPMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SEBLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEMMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:651-278-7319
Mailing Address - Street 1:1627 WHITE BEAR AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-1609
Mailing Address - Country:US
Mailing Address - Phone:651-278-7319
Mailing Address - Fax:
Practice Address - Street 1:1627 WHITE BEAR AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-1609
Practice Address - Country:US
Practice Address - Phone:651-278-7319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health