Provider Demographics
NPI:1053977504
Name:PLAY 2 LEARN EARLY INTERVENTION
Entity type:Organization
Organization Name:PLAY 2 LEARN EARLY INTERVENTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:LUANN
Authorized Official - Last Name:HITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-429-7411
Mailing Address - Street 1:504 THORNEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-8528
Mailing Address - Country:US
Mailing Address - Phone:803-429-7411
Mailing Address - Fax:
Practice Address - Street 1:504 THORNEWOOD CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-8528
Practice Address - Country:US
Practice Address - Phone:803-429-7411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency