Provider Demographics
NPI:1467917195
Name:SILVER OAK ACADEMY, INC.
Entity Type:Organization
Organization Name:SILVER OAK ACADEMY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:775-392-2639
Mailing Address - Street 1:2560 BUSINESS PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-8961
Mailing Address - Country:US
Mailing Address - Phone:775-392-2639
Mailing Address - Fax:775-392-3453
Practice Address - Street 1:999 CROUSE MILL RD
Practice Address - Street 2:
Practice Address - City:KEYMAR
Practice Address - State:MD
Practice Address - Zip Code:21757-9109
Practice Address - Country:US
Practice Address - Phone:410-775-1745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty