Provider Demographics
NPI:1144033036
Name:SANDY'S HELPER
Entity type:Organization
Organization Name:SANDY'S HELPER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:TELA
Authorized Official - Middle Name:KAE
Authorized Official - Last Name:DUDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-520-4958
Mailing Address - Street 1:310 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:ZEARING
Mailing Address - State:IA
Mailing Address - Zip Code:50278-7708
Mailing Address - Country:US
Mailing Address - Phone:515-520-4958
Mailing Address - Fax:
Practice Address - Street 1:310 N ELM ST
Practice Address - Street 2:
Practice Address - City:ZEARING
Practice Address - State:IA
Practice Address - Zip Code:50278-7708
Practice Address - Country:US
Practice Address - Phone:515-520-4958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services