Provider Demographics
NPI:1114098829
Name:PIERCE COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:PIERCE COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-449-2091
Mailing Address - Street 1:PO BOX 349
Mailing Address - Street 2:
Mailing Address - City:BLACKSHEAR
Mailing Address - State:GA
Mailing Address - Zip Code:31516-0349
Mailing Address - Country:US
Mailing Address - Phone:912-449-2091
Mailing Address - Fax:912-449-3752
Practice Address - Street 1:834 MAIN ST
Practice Address - Street 2:
Practice Address - City:BLACKSHEAR
Practice Address - State:GA
Practice Address - Zip Code:31516-2308
Practice Address - Country:US
Practice Address - Phone:912-449-2091
Practice Address - Fax:912-449-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)