Provider Demographics
NPI:1508093568
Name:HERITAGE ELEMENTARY SCHOOL
Entity Type:Organization
Organization Name:HERITAGE ELEMENTARY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-742-3956
Mailing Address - Street 1:6400 E GRANT RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3860
Mailing Address - Country:US
Mailing Address - Phone:623-742-3956
Mailing Address - Fax:623-742-3957
Practice Address - Street 1:6805 N 125TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85307-2402
Practice Address - Country:US
Practice Address - Phone:623-742-3956
Practice Address - Fax:623-742-3957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)