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NPI Code Detail

MEDICARE: I CAN TOO LEARNING CENTER, INC

MEDICARE: I CAN TOO LEARNING CENTER, 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
1251300000XLocal Education Agency (LEA)
2251S00000XCommunity/Behavioral Health Agency
3252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1902048085
Entity Type Code : Organization
Provider Name (Legal Business Name) : I CAN TOO LEARNING CENTER, INC
Provider Business Mailing Address
First Line : 1520 PARKMOOR AVE STE A
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2422
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1520 PARKMOOR AVE STE A
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2422
Country : US
Telephone Number : 408-241-9911
Fax Number : 408-241-7788
Authorized Official
Title or Position : DIRECTOR OF OFFICE MANAGMENT
Name : SARA GALLAGHER
Credential :
Telephone Number : 408-241-9911
Provider Enumeration Date : 04/03/2009
Last Update Date : 04/03/2009

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Directions to “I CAN TOO LEARNING CENTER, INC ” Practice Location

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