Provider Demographics
NPI:1285749994
Name:PARTNERS IN LEARNING CHILD DEVELOPMENT & FAMILY RESOURCE CENTER
Entity type:Organization
Organization Name:PARTNERS IN LEARNING CHILD DEVELOPMENT & FAMILY RESOURCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-638-9020
Mailing Address - Street 1:2300 W INNES ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2441
Mailing Address - Country:US
Mailing Address - Phone:704-638-9020
Mailing Address - Fax:704-638-0918
Practice Address - Street 1:2300 W INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2441
Practice Address - Country:US
Practice Address - Phone:704-638-9020
Practice Address - Fax:704-638-0918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300150KMedicaid
NC8300150Medicaid
NC8300150Medicaid