Organization
EDVISIONS OFF CAMPUS HIGH SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA DOBOSENSKI (CO-DIRECTOR)
(800) 617-7857
Entity
Organization
Contact information
Practice address
501 MAIN ST, HENDERSON, MN 56044-7709
(800) 617-7857
(866) 665-2752
Mailing address
PO BOX 307, 501 MAIN STREET, HENDERSON, MN 56044-0307
(800) 617-7857
(866) 665-2752
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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