Organization
DILLARD ACADEMY
Active
Other names
Dillard charter Academy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF BAKER SC.D (ADVISOR)
(404) 806-0434
Entity
Organization
Contact information
Practice address
8014 CUMMING HWY, SUITE 403302, CANTON, GA 30115-9339
(404) 806-0434
Mailing address
1602 STEPHENS ST, GOLDSBORO, NC 27530-6720
(919) 581-0166
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
8600110
NC
251300000X
Local Education Agency (LEA)
96C
NC
251B00000X
Case Management Agency
8600110
NC
251V00000X
Voluntary or Charitable Agency
8600110
NC
252Y00000X
Early Intervention Provider Agency
8600110
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8600110
—
NC
Enumeration date
12/19/2013
Last updated
12/19/2013
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