Provider Demographics
NPI:1598445835
Name:ALL EARS EARLY INTERVENTION SERVICES
Entity Type:Organization
Organization Name:ALL EARS EARLY INTERVENTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SERVICE PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:TEACHER OF THE DEAF
Authorized Official - Phone:606-302-0303
Mailing Address - Street 1:620 LAUREL FORD RD
Mailing Address - Street 2:
Mailing Address - City:KETTLE ISLAND
Mailing Address - State:KY
Mailing Address - Zip Code:40958-9067
Mailing Address - Country:US
Mailing Address - Phone:606-302-0303
Mailing Address - Fax:
Practice Address - Street 1:620 LAUREL FORD RD
Practice Address - Street 2:
Practice Address - City:KETTLE ISLAND
Practice Address - State:KY
Practice Address - Zip Code:40958-9067
Practice Address - Country:US
Practice Address - Phone:606-302-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency