Provider Demographics
NPI:1922574193
Name:GREATER LAS VEGAS ACADEMY INC
Entity Type:Organization
Organization Name:GREATER LAS VEGAS ACADEMY INC
Other - Org Name:GREATER LAS VEGAS ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-405-7323
Mailing Address - Street 1:6531 ANNIE OAKLEY DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2166
Mailing Address - Country:US
Mailing Address - Phone:702-405-7323
Mailing Address - Fax:
Practice Address - Street 1:6531 ANNIE OAKLEY DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2166
Practice Address - Country:US
Practice Address - Phone:702-405-7323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)