Organization
LEARNING VILLAGE ACADEMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSHEIKA SANTORIA SIMS (OWNER)
(843) 309-7293
Entity
Organization
Contact information
Practice address
711 SAWYERS MILL RD APT 307, CHARLOTTE, NC 28262-1849
(843) 309-7293
Mailing address
711 SAWYERS MILL RD APT 307, CHARLOTTE, NC 28262-1849
(843) 309-7293
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538567888
—
NC
Enumeration date
05/04/2019
Last updated
05/04/2019
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