The Academy at Roosevelt Center
NPI #1801062666 in Pocatello, Idaho
Provider Information
- NPI Number
- 1801062666
- Entity Type
- Organization
- Organization Name
- The Academy at Roosevelt Center
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- May 1, 2008
- Last Updated
- May 1, 2008
Practice Location
Authorized Official
- Name
- MR. TODD KENNETH LEVESQUE
- Title
- SYSTEMS MANAGER
- Phone
- (208) 922-3093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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