Provider Demographics
NPI:1720383789
Name:RIVENDALE LEARNING INSTITUE
Entity Type:Organization
Organization Name:RIVENDALE LEARNING INSTITUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-369-8699
Mailing Address - Street 1:385 OXFORD VALLEY RD
Mailing Address - Street 2:SUITE 408
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-7700
Mailing Address - Country:US
Mailing Address - Phone:215-369-8699
Mailing Address - Fax:215-369-5025
Practice Address - Street 1:1613 W ELFINDATE ROAD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807
Practice Address - Country:US
Practice Address - Phone:417-864-7921
Practice Address - Fax:417-864-6024
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECIALIZED EDUCATION SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services