Organization
DEVELOPMENT ACADEMY CORPORATION
Active
Other names
THE SERGEANTS FISH & DONUT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARVIS PEELE (SECRETARY)
(502) 910-1117
Entity
Organization
Contact information
Practice address
5601 WILKE FARM AVE, LOUISVILLE, KY 40216-1289
(812) 225-9259
Mailing address
2414 ARTHUR ST, JEFFERSONVILLE, IN 47130-9577
(502) 910-1117
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
347B00000X
Bus
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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