Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1023108222 |
| LBN Legal business name | NORTHEAST KINGDOM LEARNING SERVICES, INC FIT |
| Authorized official | MICHELLE TARRYK - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/16/2006 |
| Last updated | 07/30/2014 - About 12 years ago |
| Identifiers | n/a |