MEDICARE: A DREAM FOR SPOILED KIDS LEARNING ACADEMY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1508721200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A DREAM FOR SPOILED KIDS LEARNING ACADEMY INC

Provider Business Mailing Address
First Line	:	1203 WALNUT ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6644
Country	:	US
Telephone Number	:	336-580-9204
Fax Number	:

Provider Business Practice Location Address
First Line	:	1203 WALNUT ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-6644
Country	:	US
Telephone Number	:	336-580-9204
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	JASMINE HARRIS
Credential	:
Telephone Number	:	336-580-9204

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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