Provider Demographics
NPI:1194847889
Name:PULASKI COUNTY SPECIAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PULASKI COUNTY SPECIAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-490-2000
Mailing Address - Street 1:925 E DIXON RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-4115
Mailing Address - Country:US
Mailing Address - Phone:501-490-2000
Mailing Address - Fax:
Practice Address - Street 1:925 E DIXON RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-4115
Practice Address - Country:US
Practice Address - Phone:501-490-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116189743Medicaid
AR154427732OtherPERSONAL CARE
AR154428738OtherPRIVATE DUTY NURSING
AR175652742Medicaid
AR118887761OtherEPSDT - VISION HEARING