Provider Demographics
NPI:1265742621
Name:THE WALTER D. PALMER LEADERSHIP LEARNING PARTNERS CHARTER SCHOOL
Entity type:Organization
Organization Name:THE WALTER D. PALMER LEADERSHIP LEARNING PARTNERS CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/PRINCIPAL
Authorized Official - Prefix:MS
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGYARD-GATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-627-7434
Mailing Address - Street 1:910 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19123-1458
Mailing Address - Country:US
Mailing Address - Phone:215-627-7434
Mailing Address - Fax:215-627-9375
Practice Address - Street 1:910 N 6TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-1458
Practice Address - Country:US
Practice Address - Phone:215-627-7434
Practice Address - Fax:215-627-9375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)