Provider Demographics
NPI:1598954075
Name:DESTINY SCHOOL INC.
Entity Type:Organization
Organization Name:DESTINY SCHOOL INC.
Other - Org Name:DESTINY
Other - Org Type:Other Name
Authorized Official - Title/Position:STUDENT SERVICES DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAURISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-425-0925
Mailing Address - Street 1:798 E PRICKLY PEAR DR
Mailing Address - Street 2:
Mailing Address - City:GLOBE
Mailing Address - State:AZ
Mailing Address - Zip Code:85501-2395
Mailing Address - Country:US
Mailing Address - Phone:928-425-0925
Mailing Address - Fax:928-425-0927
Practice Address - Street 1:798 E PRICKLY PEAR DR
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85501-2395
Practice Address - Country:US
Practice Address - Phone:928-425-0925
Practice Address - Fax:928-425-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)