Provider Demographics
NPI:1093831935
Name:NORTHEASTERN WAYNE SCHOOL CORPORATION
Entity Type:Organization
Organization Name:NORTHEASTERN WAYNE SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-847-2821
Mailing Address - Street 1:314 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47341
Mailing Address - Country:US
Mailing Address - Phone:765-847-2821
Mailing Address - Fax:765-847-5355
Practice Address - Street 1:314 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN CITY
Practice Address - State:IN
Practice Address - Zip Code:47341
Practice Address - Country:US
Practice Address - Phone:765-847-2821
Practice Address - Fax:765-847-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)