=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679523872
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE PEOPLE FOR PEOPLE CHARTER SCHOOL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 N BROAD ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19130-2202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-763-7060
-----------------------------------------------------
Fax | 215-763-6210
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 800 N BROAD ST
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19130-2202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-763-7060
-----------------------------------------------------
Fax | 215-763-6210
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BUSINESS MANAGER
-----------------------------------------------------
Name | MR. SYDNEY FLORES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 215-763-7060
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------