Provider Demographics
NPI:1831235829
Name:EXCEL ACADEMY
Entity type:Organization
Organization Name:EXCEL ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ADMINISTRATION
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-323-1102
Mailing Address - Street 1:PO BOX 109
Mailing Address - Street 2:
Mailing Address - City:JACKSONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43030-0109
Mailing Address - Country:US
Mailing Address - Phone:740-323-1102
Mailing Address - Fax:
Practice Address - Street 1:9100 JACKSONTOWN RD.
Practice Address - Street 2:
Practice Address - City:JACKSONTOWN
Practice Address - State:OH
Practice Address - Zip Code:43030
Practice Address - Country:US
Practice Address - Phone:740-323-1102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)