Pinecrest Academy of Idaho
NPI #1366059933 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1366059933
- Entity Type
- Organization
- Organization Name
- Pinecrest Academy of Idaho
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Sep 28, 2020
- Last Updated
- Sep 28, 2020
Practice Location
- Address
- 209 5TH AVE N
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301-6141
- Phone
- (208) 944-2129
Authorized Official
- Name
- TREVOR GOODSELL
- Title
- CFO
- Phone
- (702) 431-6260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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