Provider Demographics
NPI:1093240467
Name:AGAMIM CLASSICAL ACADEMY
Entity Type:Organization
Organization Name:AGAMIM CLASSICAL ACADEMY
Other - Org Name:AGAMIM HEBREW LANGUAGE ACADEMY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-856-2531
Mailing Address - Street 1:1503 BOYCE ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-6601
Mailing Address - Country:US
Mailing Address - Phone:952-856-2531
Mailing Address - Fax:
Practice Address - Street 1:1503 BOYCE ST
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-6601
Practice Address - Country:US
Practice Address - Phone:952-856-2531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)