Provider Demographics
NPI:1467113563
Name:NEIGHBORHOOD CAREER ACADEMY
Entity Type:Organization
Organization Name:NEIGHBORHOOD CAREER ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAPLES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:850-771-4723
Mailing Address - Street 1:2310 S HIGHWAY 77 STE 110-137
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-4616
Mailing Address - Country:US
Mailing Address - Phone:850-771-4723
Mailing Address - Fax:
Practice Address - Street 1:949 JENKS AVE STE 17
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2585
Practice Address - Country:US
Practice Address - Phone:850-771-4723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-02
Last Update Date:2022-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty