NPI 1033860739

Soriya Grace Academy, LLC

Organisation Early Intervention Provider Agency Saint Paul, MN

Practice location

Address: 2032 Itasca Ave, Saint Paul, MN 55116-2511
Phone: (651) 410-3124

Authorised official

Name: Darartu-Ayyantu Abdalla
Title: Owner
Phone: (651) 410-3124

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

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Registry record

NPI: 1033860739
Entity type: Organization
NPI issued: 13 Jan 2022
Record last updated: 13 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.