Organization
DORAL ACADEMY IDAHO
Active
Other names
Academica Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR GOODSELL (CFO)
(702) 431-6260
Entity
Organization
Contact information
Practice address
2511 W CHERRY LN, MERIDIAN, ID 83642-1135
(208) 901-8281
Mailing address
6630 SURREY ST, LAS VEGAS, NV 89119-3928
(702) 431-6260
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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