Organization
BAKER VALLEY UNIFIED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KRAUSE (BUSINESS MANAGER/CBO)
(760) 733-4567
Entity
Organization
Contact information
Practice address
72100 SCHOOL HOUSE LANE, BAKER, CA 92309
(760) 733-4567
Mailing address
72100 SCHOOL HOUSE LANE, BAKER, CA 92309
(760) 733-4567
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SS3673858
—
CA
Enumeration date
06/14/2012
Last updated
06/14/2012
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