Provider Demographics
NPI:1922376284
Name:HARVEST PREPARATORY SCHOOL
Entity Type:Organization
Organization Name:HARVEST PREPARATORY SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MAHMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-381-9743
Mailing Address - Street 1:1300 OLSON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3968
Mailing Address - Country:US
Mailing Address - Phone:612-381-9743
Mailing Address - Fax:
Practice Address - Street 1:1300 OLSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3968
Practice Address - Country:US
Practice Address - Phone:612-381-9743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)