Provider Demographics
NPI:1306377734
Name:PREMIER HIGH SCHOOL OF LITTLE ROCK
Entity Type:Organization
Organization Name:PREMIER HIGH SCHOOL OF LITTLE ROCK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FEDERAL FINANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-547-8588
Mailing Address - Street 1:1621 MARTIN LUTHER KING DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-6068
Mailing Address - Country:US
Mailing Address - Phone:501-547-8588
Mailing Address - Fax:
Practice Address - Street 1:1621 MARTIN LUTHER KING DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-6068
Practice Address - Country:US
Practice Address - Phone:501-547-8588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)