Organization
PINE GROVE LEADERSHIP ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMILIYA ZAGO (DIRECTOR)
(320) 384-7598
Entity
Organization
Contact information
Practice address
63842 OJIBWE RD, SANDSTONE, MN 55072-3342
(320) 384-7598
(320) 384-7485
Mailing address
63842 OJIBWE RD, SANDSTONE, MN 55072-3342
(320) 384-7598
(320) 384-7485
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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