MEDICARE: INSPIRENOLA CHARTER SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1912474818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRENOLA CHARTER SCHOOLS

Provider Business Mailing Address
First Line	:	3520 GENERAL DEGAULLE DR STE 4040
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-6776
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 GENERAL DEGAULLE DR STE 4040
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-6776
Country	:	US
Telephone Number	:	504-227-3057
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMAR MCKNEELY
Credential	:
Telephone Number	:	504-227-3057

Provider Enumeration Date	:	10/29/2018
Last Update Date	:	10/29/2018

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Directions to “INSPIRENOLA CHARTER SCHOOLS ” Practice Location

Language	Start Address	Practice Location

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