Provider Demographics
NPI:1194065755
Name:OLNEY CHARTER HIGH SCHOOL
Entity type:Organization
Organization Name:OLNEY CHARTER HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPED. ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:MARYELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-375-5110
Mailing Address - Street 1:100 W DUNCANNON AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-3410
Mailing Address - Country:US
Mailing Address - Phone:215-375-5110
Mailing Address - Fax:
Practice Address - Street 1:100 W DUNCANNON AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-3410
Practice Address - Country:US
Practice Address - Phone:215-375-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
126513452251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)