Provider Demographics
NPI:1780242404
Name:SPRYE PERSON WITH UNIQUE DISABILITY INC
Entity type:Organization
Organization Name:SPRYE PERSON WITH UNIQUE DISABILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MYRTLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-323-1895
Mailing Address - Street 1:4130 W 161ST ST
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-2731
Mailing Address - Country:US
Mailing Address - Phone:424-323-1895
Mailing Address - Fax:
Practice Address - Street 1:4130 W 161ST ST
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-2731
Practice Address - Country:US
Practice Address - Phone:424-323-1895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services