Provider Demographics
NPI:1134324957
Name:DISCOVERY CHILDREN'S LEARNING CENTER AND PRESCHOOL INC
Entity Type:Organization
Organization Name:DISCOVERY CHILDREN'S LEARNING CENTER AND PRESCHOOL INC
Other - Org Name:DISCOVERY CHILDREN'S CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF DAYCARE
Authorized Official - Prefix:MS
Authorized Official - First Name:LAVINA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:VANORNY-BARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-984-9144
Mailing Address - Street 1:1420 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:POLK CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50226-1203
Mailing Address - Country:US
Mailing Address - Phone:515-984-9144
Mailing Address - Fax:515-795-4230
Practice Address - Street 1:1420 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:POLK CITY
Practice Address - State:IA
Practice Address - Zip Code:50226-1203
Practice Address - Country:US
Practice Address - Phone:515-984-9144
Practice Address - Fax:515-795-4230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA4177326385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care