Organization
ASPEN ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE C. MCNULTY (EXECUTIVE DIRECTOR)
(952) 226-5940
Entity
Organization
Contact information
Practice address
14825 ZINRAN AVE, SAVAGE, MN 55378-4557
(952) 226-5940
(952) 226-5949
Mailing address
14825 ZIRNAN AVE, SAVAGE, MN 55378
(952) 226-5940
(952) 226-5949
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
4189
MN
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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