Provider Demographics
NPI:1982941233
Name:ST ALBAN'S DAY NURSERY INC
Entity Type:Organization
Organization Name:ST ALBAN'S DAY NURSERY INC
Other - Org Name:ST ALBAN'S CHILD ENRICHMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TASSY-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:305-443-1234
Mailing Address - Street 1:3465 BROOKER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4867
Mailing Address - Country:US
Mailing Address - Phone:305-443-1234
Mailing Address - Fax:305-443-7913
Practice Address - Street 1:3465 BROOKER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4867
Practice Address - Country:US
Practice Address - Phone:305-443-1234
Practice Address - Fax:305-443-7913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8446251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency