Provider Demographics
NPI:1770903106
Name:NICHOLAS LITERACY CENTER, LLC
Entity type:Organization
Organization Name:NICHOLAS LITERACY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-742-4638
Mailing Address - Street 1:150 MAPLE AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-3407
Mailing Address - Country:US
Mailing Address - Phone:732-742-4638
Mailing Address - Fax:
Practice Address - Street 1:150 MAPLE AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-3407
Practice Address - Country:US
Practice Address - Phone:732-742-4638
Practice Address - Fax:877-635-5428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management