Organization
IND SCHOOL DIST 624
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELSA MAE POPE (DIR OF HR)
(651) 407-7550
Entity
Organization
Contact information
Practice address
4855 BLOOM AVE, WHITE BEAR LAKE, MN 55110-2731
(651) 407-7568
Mailing address
4855 BLOOM AVE, WHITE BEAR LAKE, MN 55110-2731
(651) 407-7568
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530678700
—
MN
Enumeration date
12/30/2006
Last updated
07/15/2008
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