Provider Demographics
NPI:1144388620
Name:NEMO VISTA SCHOOL
Entity Type:Organization
Organization Name:NEMO VISTA SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-893-2925
Mailing Address - Street 1:5690 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:CENTER RIDGE
Mailing Address - State:AR
Mailing Address - Zip Code:72027-8401
Mailing Address - Country:US
Mailing Address - Phone:501-893-2925
Mailing Address - Fax:501-893-2367
Practice Address - Street 1:5690 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:CENTER RIDGE
Practice Address - State:AR
Practice Address - Zip Code:72027-8401
Practice Address - Country:US
Practice Address - Phone:501-893-2925
Practice Address - Fax:501-893-2367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)