Legacy Charter School

NPI #1154615243 in Nampa, Idaho

Provider Information

NPI Number: 1154615243
Entity Type: Organization
Organization Name: Legacy Charter School
Primary Specialty: Local Education Agency (LEA)
Enumeration Date: Jun 6, 2011
Last Updated: Jun 6, 2011

Practice Location

Address: 2422 12TH AVE RD
Address 2: #225
City: Nampa
State: Idaho
ZIP Code: 83686-6300
Phone: (208) 466-7952

Authorized Official

Name: CELESTE BLACKBURN
Title: OPERATIONS MANAGER
Phone: (208) 922-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Local Education Agency (LEA)	251300000X	Primary

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