NPI 1023310695
Owl Charter Academy
Practice location
- Address
- 4164 E Amity, Nampa, ID 83687
- Phone
- (208) 461-1279
Authorised official
- Name
- Celeste Blackburn
- Title
- Account Admin
- Phone
- (208) 922-9300
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1023310695
- Entity type
- Organization
- NPI issued
- 2 Dec 2010
- Record last updated
- 2 Dec 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.