Provider Demographics
NPI:1598935413
Name:ETHEL HEDGEMAN LYLE ACADEMY
Entity Type:Organization
Organization Name:ETHEL HEDGEMAN LYLE ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWBORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-436-1345
Mailing Address - Street 1:1509 WASHINGTON AVE # 800
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-1821
Mailing Address - Country:US
Mailing Address - Phone:314-436-1345
Mailing Address - Fax:
Practice Address - Street 1:1509 WASHINGTON AVE # 800
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-1821
Practice Address - Country:US
Practice Address - Phone:314-436-1345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)