Provider Demographics
NPI:1265710974
Name:PENNSYLVANIA DISTANCE LEARNING CHARTER SCHOOL
Entity type:Organization
Organization Name:PENNSYLVANIA DISTANCE LEARNING CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:ROSSETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-997-3352
Mailing Address - Street 1:2100 CORPORATE DRIVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:888-997-3352
Mailing Address - Fax:888-997-3527
Practice Address - Street 1:2100 CORPORATE DRIVE
Practice Address - Street 2:SUITE 500
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:888-997-3352
Practice Address - Fax:888-997-3527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)