Provider Demographics
NPI:1891331278
Name:KERRINGTON'S CARE ACADEMY INC
Entity Type:Organization
Organization Name:KERRINGTON'S CARE ACADEMY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:WANDRETTA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-787-4997
Mailing Address - Street 1:1500 VINE ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-5637
Mailing Address - Country:US
Mailing Address - Phone:352-787-7100
Mailing Address - Fax:352-787-7110
Practice Address - Street 1:1500 VINE ST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5637
Practice Address - Country:US
Practice Address - Phone:352-787-7100
Practice Address - Fax:352-787-7110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVE THY NEIGHBOR CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care