Provider Demographics
NPI:1932672284
Name:SPRING CREEK CHARTER SCHOOL, INC.
Entity Type:Organization
Organization Name:SPRING CREEK CHARTER SCHOOL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:GORDON
Authorized Official - Last Name:LOCKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-669-3275
Mailing Address - Street 1:44440 SPRING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PAISLEY
Mailing Address - State:FL
Mailing Address - Zip Code:32767-9063
Mailing Address - Country:US
Mailing Address - Phone:352-669-3275
Mailing Address - Fax:352-669-3762
Practice Address - Street 1:44440 SPRING CREEK RD
Practice Address - Street 2:
Practice Address - City:PAISLEY
Practice Address - State:FL
Practice Address - Zip Code:32767-9063
Practice Address - Country:US
Practice Address - Phone:352-669-3275
Practice Address - Fax:352-669-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)