Organization
IDAHO LEADERSHIP ACADEMY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA R. NELSON (BUSINESS MANAGER)
(208) 684-9696
Entity
Organization
Contact information
Practice address
1506 W. 560 S., PINGREE, ID 83262-0059
(208) 684-9696
(208) 684-9404
Mailing address
PO BOX 59, 1506 W. 560 S., PINGREE, ID 83262-0059
(208) 684-9696
(208) 684-9404
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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