Provider Demographics
NPI:1003177619
Name:AFSA HIGH SCHOOL
Entity Type:Organization
Organization Name:AFSA HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-209-3910
Mailing Address - Street 1:100 VADNAIS BLVD
Mailing Address - Street 2:
Mailing Address - City:VADNAIS HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55127-4036
Mailing Address - Country:US
Mailing Address - Phone:651-209-3910
Mailing Address - Fax:651-209-3911
Practice Address - Street 1:100 VADNAIS BLVD
Practice Address - Street 2:
Practice Address - City:VADNAIS HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55127-4036
Practice Address - Country:US
Practice Address - Phone:651-209-3910
Practice Address - Fax:651-209-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)