Organization
SIERRA GRANDE SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY J CORDOVA (BOOKKEEPER)
(719) 379-3259
Entity
Organization
Contact information
Practice address
17523 E HIGHWAY 160, BLANCA, CO 81123
(719) 379-3257
(719) 379-2572
Mailing address
17523 E HIGHWAY 160, BLANCA, CO 81123
(719) 379-3257
(719) 379-2572
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43204261
—
CO
Enumeration date
11/01/2006
Last updated
08/22/2020
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