NPI 1154615243
Legacy Charter School
Practice location
- Address
- 2422 12th Ave Rd #225, Nampa, ID 83686-6300
- Phone
- (208) 466-7952
Authorised official
- Name
- Celeste Blackburn
- Title
- Operations Manager
- Phone
- (208) 922-9300
Registered specialties
Local Education Agency (LEA)
Primary
Registry record
- NPI
- 1154615243
- Entity type
- Organization
- NPI issued
- 6 Jun 2011
- Record last updated
- 6 Jun 2011
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.