Provider Demographics
NPI:1821492711
Name:RIVER'S EDGE ACADEMY
Entity Type:Organization
Organization Name:RIVER'S EDGE ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEG
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVALIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-234-0150
Mailing Address - Street 1:188 PLATO BLVD W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107-2021
Mailing Address - Country:US
Mailing Address - Phone:651-234-0150
Mailing Address - Fax:651-234-0159
Practice Address - Street 1:188 PLATO BLVD W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55107-2021
Practice Address - Country:US
Practice Address - Phone:651-234-0150
Practice Address - Fax:651-234-0159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)