Provider Demographics
NPI:1437659786
Name:RISE PREP MAYORAL ACADEMY
Entity Type:Organization
Organization Name:RISE PREP MAYORAL ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND HR
Authorized Official - Prefix:
Authorized Official - First Name:KATHARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-768-1110
Mailing Address - Street 1:1 SOCIAL ST
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-3172
Mailing Address - Country:US
Mailing Address - Phone:401-768-1110
Mailing Address - Fax:401-765-5140
Practice Address - Street 1:1 SOCIAL ST
Practice Address - Street 2:
Practice Address - City:WOONSOCKET
Practice Address - State:RI
Practice Address - Zip Code:02895-3172
Practice Address - Country:US
Practice Address - Phone:401-768-1110
Practice Address - Fax:401-765-5140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)