Provider Demographics
NPI:1598100943
Name:VILLAGE GREEN VIRTUAL CHARTER
Entity Type:Organization
Organization Name:VILLAGE GREEN VIRTUAL CHARTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEAD OF SCHOOL
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKING TON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-378-7007
Mailing Address - Street 1:175 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4026
Mailing Address - Country:US
Mailing Address - Phone:401-378-7007
Mailing Address - Fax:
Practice Address - Street 1:175 BROAD ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4026
Practice Address - Country:US
Practice Address - Phone:401-378-7007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)