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NPI Code Detail

MEDICARE: HONORS ACADEMY OF LITERATURE

MEDICARE: HONORS ACADEMY OF LITERATURE
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)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407490683
Entity Type Code : Organization
Provider Name (Legal Business Name) : HONORS ACADEMY OF LITERATURE
Provider Business Mailing Address
First Line : 195 N ARLINGTON AVE
Second Line :
City : RENO
State : NV
Zip : 89501-1209
Country : US
Telephone Number : 775-737-4084
Fax Number :
Provider Business Practice Location Address
First Line : 195 N ARLINGTON AVE
Second Line :
City : RENO
State : NV
Zip : 89501-1209
Country : US
Telephone Number : 775-737-4084
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : DR. ANDREA MORENCY
Credential : LEA
Telephone Number : 775-737-4084
Provider Enumeration Date : 10/31/2019
Last Update Date : 10/31/2019

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Directions to “HONORS ACADEMY OF LITERATURE ” Practice Location

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