Organization
CEDAR RIVERSIDE COMMUNITY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY WHITE (EXECUTIVE DIRECTOR)
(612) 339-5767
Entity
Organization
Contact information
Practice address
1610 S 6TH ST, SUITE #100, MINNEAPOLIS, MN 55454-1102
(612) 339-5767
Mailing address
1610 S 6TH ST, SUITE #100, MINNEAPOLIS, MN 55454-1102
(612) 339-5767
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
MN
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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