Organization
LAKE COUNTRY ACADEMY FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA KOEPP (ADMINISTRATOR)
(920) 208-3020
Entity
Organization
Contact information
Practice address
4101 TECHNOLOGY PKWY, SHEBOYGAN, WI 53083-6049
(920) 208-3020
(920) 208-3022
Mailing address
4101 TECHNOLOGY PKWY, SHEBOYGAN, WI 53083-6049
(920) 208-3020
(920) 208-3022
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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