Provider Demographics
NPI:1699839100
Name:DULUTH PUBLIC SCHOOLS ACADEMY
Entity Type:Organization
Organization Name:DULUTH PUBLIC SCHOOLS ACADEMY
Other - Org Name:EDISON CHARTER SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:HEAD OF SCHOOLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JORGENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-723-2345
Mailing Address - Street 1:1750 KENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55811-2224
Mailing Address - Country:US
Mailing Address - Phone:218-728-9556
Mailing Address - Fax:218-728-2075
Practice Address - Street 1:1750 KENWOOD AVE
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-2224
Practice Address - Country:US
Practice Address - Phone:218-728-9556
Practice Address - Fax:218-728-2075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)