Organization
PINECREST ACADEMY OF IDAHO
Active
Other names
Pinecrest Academy of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR GOODSELL (CFO)
(702) 431-6260
Entity
Organization
Contact information
Practice address
209 5TH AVE N, TWIN FALLS, ID 83301-6141
(208) 944-2129
Mailing address
6630 SURREY ST, LAS VEGAS, NV 89119-3928
(702) 431-6260
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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