Organization
ODYSSEY CHARTER SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL PETERSON (PRINCIPLE)
(208) 557-3627
Entity
Organization
Contact information
Practice address
1235 JONES ST, IDAHO FALLS, ID 83401-6044
(208) 557-3627
(208) 522-1289
Mailing address
1235 JONES ST, IDAHO FALLS, ID 83401-6044
(208) 557-3627
(208) 522-1289
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
1348
ID
Other
Enumeration date
10/08/2013
Last updated
10/08/2013
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