Provider Demographics
NPI:1104059179
Name:VANCE DAY SCHOOL
Entity type:Organization
Organization Name:VANCE DAY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:ELETHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASKERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-915-5383
Mailing Address - Street 1:147 CROWDER LN
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27537-6336
Mailing Address - Country:US
Mailing Address - Phone:252-915-5383
Mailing Address - Fax:
Practice Address - Street 1:147 CROWDER LN
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27537-6336
Practice Address - Country:US
Practice Address - Phone:252-915-5383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services