Provider Demographics
NPI:1609180595
Name:CYBER VILLAGE ACADEMY, INC
Entity Type:Organization
Organization Name:CYBER VILLAGE ACADEMY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-523-7170
Mailing Address - Street 1:768 HAMLINE AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2224
Mailing Address - Country:US
Mailing Address - Phone:651-523-7170
Mailing Address - Fax:651-523-7113
Practice Address - Street 1:768 HAMLINE AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2224
Practice Address - Country:US
Practice Address - Phone:651-523-7170
Practice Address - Fax:651-523-7113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)