Provider Demographics
NPI:1508886052
Name:THE LEARNING CENTER FOR FAMILIES
Entity Type:Organization
Organization Name:THE LEARNING CENTER FOR FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-673-5353
Mailing Address - Street 1:2044 MESA PALMS DRIVE
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-5546
Mailing Address - Country:US
Mailing Address - Phone:435-673-5353
Mailing Address - Fax:435-673-5393
Practice Address - Street 1:2044 MESA PALMS DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-5546
Practice Address - Country:US
Practice Address - Phone:435-673-5353
Practice Address - Fax:435-673-5393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT876000545614Medicaid