Provider Demographics
NPI:1093842494
Name:LICKING COUNTY EDUCATIONAL SERVICE CENTER
Entity Type:Organization
Organization Name:LICKING COUNTY EDUCATIONAL SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:D.
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:TOWNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-349-6085
Mailing Address - Street 1:675 PRICE RD NE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:675 PRICE RD NE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9506
Practice Address - Country:US
Practice Address - Phone:740-349-6085
Practice Address - Fax:740-349-6107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)