Provider Demographics
NPI:1154423697
Name:PLAY & LEARN DEVELOPMENTAL SERVICES, INC.
Entity type:Organization
Organization Name:PLAY & LEARN DEVELOPMENTAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:502-552-4693
Mailing Address - Street 1:10303 MARY DELL LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1234
Mailing Address - Country:US
Mailing Address - Phone:502-552-4693
Mailing Address - Fax:502-267-7612
Practice Address - Street 1:10303 MARY DELL LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1234
Practice Address - Country:US
Practice Address - Phone:502-552-4693
Practice Address - Fax:502-267-7612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty