Provider Demographics
NPI:1982747788
Name:LEARNING LINKS EDUCATIONAL CENTER
Entity Type:Organization
Organization Name:LEARNING LINKS EDUCATIONAL CENTER
Other - Org Name:LEARNING LINKS EDUCATIONAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:910-822-4360
Mailing Address - Street 1:5813 RAMSEY ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-3416
Mailing Address - Country:US
Mailing Address - Phone:910-822-4360
Mailing Address - Fax:910-822-4386
Practice Address - Street 1:5813 RAMSEY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-3416
Practice Address - Country:US
Practice Address - Phone:910-822-4360
Practice Address - Fax:910-822-4386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300748Medicaid