Provider Demographics
NPI:1427258151
Name:EAGLE ACADEMY
Entity type:Organization
Organization Name:EAGLE ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL LEADER
Authorized Official - Prefix:
Authorized Official - First Name:TERRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-691-4876
Mailing Address - Street 1:2014 CONSAUL ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43605-1412
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:419-691-5184
Practice Address - Street 1:2014 CONSAUL ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43605-1412
Practice Address - Country:US
Practice Address - Phone:419-691-4876
Practice Address - Fax:419-691-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)