Provider Demographics
NPI:1457016511
Name:DESERT SKY COMMUNITY SCHOOL
Entity Type:Organization
Organization Name:DESERT SKY COMMUNITY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADRIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-745-3888
Mailing Address - Street 1:1350 N ARCADIA AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4706
Mailing Address - Country:US
Mailing Address - Phone:520-745-3888
Mailing Address - Fax:
Practice Address - Street 1:1350 N ARCADIA AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4706
Practice Address - Country:US
Practice Address - Phone:520-745-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)