Provider Demographics
NPI:1982233417
Name:SPEAK LIFE LEARNING ACADEMY LLC
Entity Type:Organization
Organization Name:SPEAK LIFE LEARNING ACADEMY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:DADZIE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:419-356-0189
Mailing Address - Street 1:4335 TRUXTON PLACE DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-5438
Mailing Address - Country:US
Mailing Address - Phone:419-917-3807
Mailing Address - Fax:
Practice Address - Street 1:4335 TRUXTON PLACE DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-5438
Practice Address - Country:US
Practice Address - Phone:419-917-3807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)