Organization
INDIANA MATH AND SCIENCE ACADEMY WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERQUITTO GOLDEN (IMSA REPRESENTATIVE)
(317) 252-3990
Entity
Organization
Contact information
Practice address
4575 W 38TH ST, INDIANAPOLIS, IN 46254-3313
(317) 252-3990
Mailing address
4575 W 38TH ST, INDIANAPOLIS, IN 46254-3313
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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