Provider Demographics
NPI:1386203776
Name:DEMOCRACY PREP LOUISIANA CHARTER
Entity Type:Organization
Organization Name:DEMOCRACY PREP LOUISIANA CHARTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHASSEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-326-8598
Mailing Address - Street 1:4055 PRESCOTT RD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70805-5146
Mailing Address - Country:US
Mailing Address - Phone:225-372-2037
Mailing Address - Fax:
Practice Address - Street 1:4055 PRESCOTT RD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-5146
Practice Address - Country:US
Practice Address - Phone:225-372-2037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)