Provider Demographics
NPI:1154737278
Name:DEAF & IMMIGRANT CENTER FOR EDUCATION
Entity type:Organization
Organization Name:DEAF & IMMIGRANT CENTER FOR EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:NIC
Authorized Official - Phone:651-335-9113
Mailing Address - Street 1:3708 36TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-2756
Mailing Address - Country:US
Mailing Address - Phone:651-335-9113
Mailing Address - Fax:
Practice Address - Street 1:3708 36TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-2756
Practice Address - Country:US
Practice Address - Phone:651-335-9113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable