Provider Demographics
NPI:1093923039
Name:SPENCER OWEN COMMUNITY SCHOOLS
Entity Type:Organization
Organization Name:SPENCER OWEN COMMUNITY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-876-6325
Mailing Address - Street 1:205 E HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:SPENCER
Mailing Address - State:IN
Mailing Address - Zip Code:47460-1421
Mailing Address - Country:US
Mailing Address - Phone:812-829-2233
Mailing Address - Fax:812-829-6614
Practice Address - Street 1:205 E HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IN
Practice Address - Zip Code:47460-1421
Practice Address - Country:US
Practice Address - Phone:812-829-2233
Practice Address - Fax:812-829-6614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)