Provider Demographics
NPI:1396172193
Name:YOUNG SCHOLARS KENDERTON CHARTER SCHOOL
Entity type:Organization
Organization Name:YOUNG SCHOLARS KENDERTON CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NETWORK DIRECTOR OF STUDENT SUPPORT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAVON
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-525-4141
Mailing Address - Street 1:1500 W ONTARIO ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19140-5012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 W ONTARIO ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140-5012
Practice Address - Country:US
Practice Address - Phone:215-227-4412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)