Provider Demographics
NPI:1912334806
Name:PA LEADERSHIP CHARTER SCHOOL
Entity Type:Organization
Organization Name:PA LEADERSHIP CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-701-3333
Mailing Address - Street 1:1332 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5970
Mailing Address - Country:US
Mailing Address - Phone:610-701-3333
Mailing Address - Fax:610-701-3339
Practice Address - Street 1:1332 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5970
Practice Address - Country:US
Practice Address - Phone:610-701-3333
Practice Address - Fax:610-701-3339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)