Provider Demographics
NPI:1417612508
Name:BAILEY'S EARLY LEARNING HOME
Entity Type:Organization
Organization Name:BAILEY'S EARLY LEARNING HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRENATAL CARE COORDINATION
Authorized Official - Prefix:
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:SHEREE
Authorized Official - Last Name:VARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-239-1497
Mailing Address - Street 1:3862 N 38TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-3014
Mailing Address - Country:US
Mailing Address - Phone:414-239-1497
Mailing Address - Fax:
Practice Address - Street 1:3862 N 38TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-3014
Practice Address - Country:US
Practice Address - Phone:414-239-1497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization