DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CORNERSTONE LEARNING ACADEMY

MEDICARE: CORNERSTONE LEARNING ACADEMY
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)

General Provider Information

NPI Number : 1104521590
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE LEARNING ACADEMY
Provider Business Mailing Address
First Line : 10096 W FAIRVIEW AVE STE 160
Second Line :
City : BOISE
State : ID
Zip : 83704-5004
Country : US
Telephone Number : 208-616-6901
Fax Number :
Provider Business Practice Location Address
First Line : 10096 W FAIRVIEW AVE STE 160
Second Line :
City : BOISE
State : ID
Zip : 83704-5004
Country : US
Telephone Number : 208-616-6901
Fax Number :
Authorized Official
Title or Position : OWNER & FOUNDER
Name : JENNIFER ARCHABAL
Credential :
Telephone Number : 208-616-6901
Provider Enumeration Date : 04/04/2023
Last Update Date : 04/06/2023

Similar Medicare Providers

1679406219 — EARL MEHRABAN
Practice Location Address:
10096 W FAIRVIEW AVE STE 160
BOISE, ID
83704-5004
Practice Phone: 208-908-7882
Practice Fax:
1497928790 — BETHANY K DAVEY LCSW
Practice Location Address:
10096 W FAIRVIEW AVE STE 160
BOISE, ID
83704-5004
Practice Phone: 208-908-7882
Practice Fax:
1821352378 — MS. KARA M KREIZENBECK LCSW
Practice Location Address:
10096 W FAIRVIEW AVE STE 160
BOISE, ID
83704-5004
Practice Phone: 208-908-7882
Practice Fax: 208-908-7883
1578803284 — ERIK G ROTH LCSW
Practice Location Address:
10096 W FAIRVIEW AVE STE 160
BOISE, ID
83704-5004
Practice Phone: 208-908-7882
Practice Fax:
1912310491 — SARAH BALLARD LCSW
Practice Location Address:
10096 W FAIRVIEW AVE STE 160
BOISE, ID
83704-5004
Practice Phone: 208-908-7882
Practice Fax: 208-908-7883
1871126797 — AVANZAR WELLNESS LLC
Practice Location Address:
10096 W FAIRVIEW AVE STE 160
BOISE, ID
83704-5004
Practice Phone: 208-908-7882
Practice Fax: 208-908-7883

Directions to “CORNERSTONE LEARNING ACADEMY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.