Provider Demographics
NPI:1558495366
Name:HEAD OF THE CLASS CHILDCARE & LEARNING CENTER,LLC
Entity Type:Organization
Organization Name:HEAD OF THE CLASS CHILDCARE & LEARNING CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-367-0024
Mailing Address - Street 1:119 S BOYD ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:AR
Mailing Address - Zip Code:71655-4701
Mailing Address - Country:US
Mailing Address - Phone:870-367-0024
Mailing Address - Fax:870-367-3869
Practice Address - Street 1:119 S BOYD ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4701
Practice Address - Country:US
Practice Address - Phone:870-367-0024
Practice Address - Fax:870-367-3869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR24732251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services