Provider Demographics
NPI:1679133094
Name:OUR CAREER CENTERED ACADEMY
Entity Type:Organization
Organization Name:OUR CAREER CENTERED ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GIER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP CCC
Authorized Official - Phone:863-800-0755
Mailing Address - Street 1:PO BOX 1236
Mailing Address - Street 2:
Mailing Address - City:LAKE ALFRED
Mailing Address - State:FL
Mailing Address - Zip Code:33850-1236
Mailing Address - Country:US
Mailing Address - Phone:863-800-0755
Mailing Address - Fax:863-298-0299
Practice Address - Street 1:515 E HAINES BLVD
Practice Address - Street 2:
Practice Address - City:LAKE ALFRED
Practice Address - State:FL
Practice Address - Zip Code:33850-3023
Practice Address - Country:US
Practice Address - Phone:863-294-1429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)