Provider Demographics
NPI:1962809830
Name:SAMUEL J GREEN CHARTER SCHOOL
Entity type:Organization
Organization Name:SAMUEL J GREEN CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:NEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-952-3613
Mailing Address - Street 1:2319 VALENCE ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-5959
Mailing Address - Country:US
Mailing Address - Phone:504-304-3532
Mailing Address - Fax:
Practice Address - Street 1:2319 VALENCE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5959
Practice Address - Country:US
Practice Address - Phone:504-304-3532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRSTLINE SCHOOLS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)