Provider Demographics
NPI:1659713931
Name:ALDO LEOPOLD CHARTER SCHOOL
Entity Type:Organization
Organization Name:ALDO LEOPOLD CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEAN OF STUDENTS
Authorized Official - Prefix:
Authorized Official - First Name:MADDY
Authorized Official - Middle Name:F
Authorized Official - Last Name:LA ROSA-CORLISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-538-2547
Mailing Address - Street 1:1422 HIGHWAY 180 E
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-7837
Mailing Address - Country:US
Mailing Address - Phone:575-538-2547
Mailing Address - Fax:575-388-4970
Practice Address - Street 1:1422 HIGHWAY 180 E
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-7837
Practice Address - Country:US
Practice Address - Phone:575-538-2547
Practice Address - Fax:575-388-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)