Provider Demographics
NPI:1164126942
Name:RACELAND-WORTHINGTON IND SCHOOL SY
Entity Type:Organization
Organization Name:RACELAND-WORTHINGTON IND SCHOOL SY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:BECKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-836-0464
Mailing Address - Street 1:100 RAMS BLVD
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:KY
Mailing Address - Zip Code:41169-1413
Mailing Address - Country:US
Mailing Address - Phone:606-836-0464
Mailing Address - Fax:
Practice Address - Street 1:100 RAMS BLVD
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:KY
Practice Address - Zip Code:41169-1413
Practice Address - Country:US
Practice Address - Phone:606-836-0464
Practice Address - Fax:606-833-5807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)