Provider Demographics
NPI:1164703344
Name:WOODSON INSTITUTE FOR EXCELLENCE CHARTER SCHOOL
Entity Type:Organization
Organization Name:WOODSON INSTITUTE FOR EXCELLENCE CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LA'TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-455-1611
Mailing Address - Street 1:1501 ALDRICH AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3335
Mailing Address - Country:US
Mailing Address - Phone:612-455-1611
Mailing Address - Fax:612-455-1612
Practice Address - Street 1:1501 ALDRICH AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3335
Practice Address - Country:US
Practice Address - Phone:612-455-1611
Practice Address - Fax:612-455-1612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)