NPI 1801062666
The Academy at Roosevelt Center
Practice location
- Address
- 240 E Maple St, Pocatello, ID 83201-4647
- Phone
- (208) 232-1447
Authorised official
- Name
- Todd Kenneth Levesque
- Title
- Systems Manager
- Phone
- (208) 922-3093
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1801062666
- Entity type
- Organization
- NPI issued
- 1 May 2008
- Record last updated
- 1 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.