Organization Name: | DISCOVERY CHILDREN'S LEARNING CENTER AND PRESCHOOL INC |
NPI Number: | 1134324957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAVINA JEAN VANORNY-BARCUS (OWNER OF DAYCARE) |
Mailing Address: | 1420 W Broadway St Polk City |
State: | IA US |
Postal Code: | 502261203 |
Phone Number: | 5159849144 |
Fax Number: | 5157954230 |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 4177326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |