Provider Demographics
NPI:1598009912
Name:PERRY STREET PREPARATORY PUBLIC CHARTER SCHOOL
Entity Type:Organization
Organization Name:PERRY STREET PREPARATORY PUBLIC CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM HEAD OF SCHOOL
Authorized Official - Prefix:MR
Authorized Official - First Name:SHADWICK
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-551-0809
Mailing Address - Street 1:1800 PERRY STREET NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018
Mailing Address - Country:US
Mailing Address - Phone:202-529-4400
Mailing Address - Fax:202-526-2214
Practice Address - Street 1:1800 PERRY ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2742
Practice Address - Country:US
Practice Address - Phone:202-529-4400
Practice Address - Fax:202-526-2214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)