Provider Demographics
NPI:1275905754
Name:A & G CHILD CARE CENTER LLC
Entity Type:Organization
Organization Name:A & G CHILD CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ALDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-840-4869
Mailing Address - Street 1:537 E RACINE PL
Mailing Address - Street 2:PO BOX 11693
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-1611
Mailing Address - Country:US
Mailing Address - Phone:520-840-4869
Mailing Address - Fax:520-840-4869
Practice Address - Street 1:537 E RACINE PL
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1611
Practice Address - Country:US
Practice Address - Phone:520-840-4869
Practice Address - Fax:520-840-4869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-23
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty