Provider Demographics
NPI:1376824953
Name:ADVANCED LANGUAGE LINE
Entity Type:Organization
Organization Name:ADVANCED LANGUAGE LINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPRATIONS EXECUTIVE
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:F
Authorized Official - Phone:612-284-2070
Mailing Address - Street 1:314 CLIFTON AVE STE 20
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-3384
Mailing Address - Country:US
Mailing Address - Phone:800-468-1917
Mailing Address - Fax:612-284-6969
Practice Address - Street 1:314 CLIFTON AVE STE 20
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-3384
Practice Address - Country:US
Practice Address - Phone:800-468-1917
Practice Address - Fax:612-284-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1721311252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency