Organization · Type 2 NPI
Innerchange Lake House Academy
Student in an Organized Health Care Education/Training Program · Flat Rock, NC
NPI number
1700234929
Active
Practice location
447 Lilly Pad Ln
Flat Rock, NC 28731-9503
Mailing address
86 N University Ave, #450
Provo, UT 84601-4420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
About NPI 1700234929
Innerchange Lake House Academy's National Provider Identifier is 1700234929, issued on May 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flat Rock, NC. The record was last updated on May 27, 2016.