Provider Demographics
NPI:1407381304
Name:LEARNING TO GROW
Entity Type:Organization
Organization Name:LEARNING TO GROW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CBRS PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-339-5101
Mailing Address - Street 1:1411 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-6511
Mailing Address - Country:US
Mailing Address - Phone:252-339-5101
Mailing Address - Fax:
Practice Address - Street 1:1411 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-6511
Practice Address - Country:US
Practice Address - Phone:252-339-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency