Provider Demographics
NPI:1740438100
Name:KIPP PHILADELPHIA CHARTER SCHOOL
Entity type:Organization
Organization Name:KIPP PHILADELPHIA CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:P
Authorized Official - Last Name:MANNELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:215-227-1728
Mailing Address - Street 1:2709 N BROAD ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19132-2722
Mailing Address - Country:US
Mailing Address - Phone:215-852-1532
Mailing Address - Fax:
Practice Address - Street 1:2709 N BROAD ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-2722
Practice Address - Country:US
Practice Address - Phone:215-852-1532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)