Provider Demographics
NPI:1033461140
Name:UNIVERSAL BLUFORD CHARTER SCHOOL
Entity Type:Organization
Organization Name:UNIVERSAL BLUFORD CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHAHIED
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-732-6518
Mailing Address - Street 1:800 SOUTH 15TH
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146
Mailing Address - Country:US
Mailing Address - Phone:215-732-6518
Mailing Address - Fax:
Practice Address - Street 1:5720 MEDIA STREET
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131
Practice Address - Country:US
Practice Address - Phone:215-581-5502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)