Organization
DEVELOPMENTAL LEARNING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER COREY (CEO)
(904) 387-0370
Entity
Organization
Contact information
Practice address
4101-1 COLLEGE ST, JACKSONVILLE, FL 32205-5318
(904) 387-0370
(904) 387-0156
Mailing address
4101-1 COLLEGE STREET, JACKSONVILLE, FL 32205-5318
(904) 387-0370
(904) 387-0156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
041802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
679242196
—
FL
05
—
880242400
—
FL
Enumeration date
04/20/2006
Last updated
02/21/2023
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