Provider Demographics
NPI:1871627687
Name:SPECIAL SERVICES LEARNING CENTER, INC.
Entity type:Organization
Organization Name:SPECIAL SERVICES LEARNING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-448-2046
Mailing Address - Street 1:406 HIGHWAY 65 S
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:AR
Mailing Address - Zip Code:72650-7877
Mailing Address - Country:US
Mailing Address - Phone:870-448-2046
Mailing Address - Fax:870-448-5362
Practice Address - Street 1:406 HIGHWAY 65 S
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:AR
Practice Address - Zip Code:72650-7877
Practice Address - Country:US
Practice Address - Phone:870-448-2046
Practice Address - Fax:870-448-5362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services