MEDICARE: LEARNING SERVICES HOME AND COMMUNITY LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1689372054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEARNING SERVICES HOME AND COMMUNITY LLC

Provider Business Mailing Address
First Line	:	325 MIRON DR STE 150
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-7833
Country	:	US
Telephone Number	:	737-600-5831
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 LANGLEY DR STE B
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30046-6909
Country	:	US
Telephone Number	:	737-600-5831
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	KELLY FUSCO RAMSEY
Credential	:	CCC-SLP
Telephone Number	:	737-600-5831

Provider Enumeration Date	:	02/15/2023
Last Update Date	:	02/15/2023

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