Provider Demographics
NPI:1093953275
Name:EVERGREEN LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:EVERGREEN LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-644-3521
Mailing Address - Street 1:14544 COUNTY ROAD 6
Mailing Address - Street 2:BOARD OF EDUCATION-FINANCE DEPT
Mailing Address - City:METAMORA
Mailing Address - State:OH
Mailing Address - Zip Code:43540-9741
Mailing Address - Country:US
Mailing Address - Phone:419-644-3521
Mailing Address - Fax:419-644-6070
Practice Address - Street 1:14544 COUNTY ROAD 6
Practice Address - Street 2:
Practice Address - City:METAMORA
Practice Address - State:OH
Practice Address - Zip Code:43540-9741
Practice Address - Country:US
Practice Address - Phone:419-644-3521
Practice Address - Fax:419-644-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)