Provider Demographics
NPI:1790113215
Name:EXCELL ACADEMY FOR HIGHER LEARNING
Entity Type:Organization
Organization Name:EXCELL ACADEMY FOR HIGHER LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILILAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-533-0500
Mailing Address - Street 1:6510 ZANE AVE N
Mailing Address - Street 2:SUITE 107
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55429-1559
Mailing Address - Country:US
Mailing Address - Phone:763-533-0500
Mailing Address - Fax:
Practice Address - Street 1:6510 ZANE AVE N
Practice Address - Street 2:SUITE 107
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55429-1559
Practice Address - Country:US
Practice Address - Phone:763-533-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-18
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)