Provider Demographics
NPI:1457530545
Name:COMMUNITY OF PEACE ACADEMY 4015-07
Entity Type:Organization
Organization Name:COMMUNITY OF PEACE ACADEMY 4015-07
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD OF DIRECTORS CHAIR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:FULTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-699-3379
Mailing Address - Street 1:471 MAGNOLIA AVE E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130-3849
Mailing Address - Country:US
Mailing Address - Phone:651-776-5151
Mailing Address - Fax:651-771-4841
Practice Address - Street 1:471 MAGNOLIA AVE E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-3849
Practice Address - Country:US
Practice Address - Phone:651-776-5151
Practice Address - Fax:651-771-4841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)