MEDICARE: HORIZON SCIENCE ACADEMY DENISON MIDDLE SCHOOL

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
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1659742989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON SCIENCE ACADEMY DENISON MIDDLE SCHOOL

Provider Business Mailing Address
First Line	:	1700 DENISON AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-2945
Country	:	US
Telephone Number	:	216-739-9911
Fax Number	:	216-739-9991

Provider Business Practice Location Address
First Line	:	1700 DENISON AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-2945
Country	:	US
Telephone Number	:	216-739-9911
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	MR. BULENT AKBENLIOGLU
Credential	:
Telephone Number	:	216-739-9911

Provider Enumeration Date	:	10/13/2015
Last Update Date	:	10/13/2015

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