Provider Demographics
NPI:1548619273
Name:EL CAMINO REAL ACADEMY
Entity Type:Organization
Organization Name:EL CAMINO REAL ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-314-2212
Mailing Address - Street 1:3713 ISLETA BLVD SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87105-5919
Mailing Address - Country:US
Mailing Address - Phone:505-314-2212
Mailing Address - Fax:505-873-4200
Practice Address - Street 1:3713 ISLETA BLVD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105-5919
Practice Address - Country:US
Practice Address - Phone:505-314-2212
Practice Address - Fax:505-873-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)