Provider Demographics
NPI:1568798304
Name:PHOENIX EDUCATION MANAGEMENT, L.L.C.
Entity Type:Organization
Organization Name:PHOENIX EDUCATION MANAGEMENT, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:SCHILTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:602-344-6103
Mailing Address - Street 1:1903 E ROESER RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-3341
Mailing Address - Country:US
Mailing Address - Phone:602-344-6103
Mailing Address - Fax:602-305-8445
Practice Address - Street 1:1903 E ROESER RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-3341
Practice Address - Country:US
Practice Address - Phone:602-344-6103
Practice Address - Fax:602-305-8445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-29
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)