Organization
IMAGINE GREAT WESTERN ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KELLER (PRINCIPAL)
(614) 276-1028
Entity
Organization
Contact information
Practice address
310 N WILSON RD, COLUMBUS, OH 43204-6221
(614) 276-1028
(614) 276-1049
Mailing address
310 N WILSON RD, COLUMBUS, OH 43204-6221
(614) 276-1028
(614) 276-1049
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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