Provider Demographics
NPI:1255490587
Name:LEVY COUNTY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LEVY COUNTY SCHOOL DISTRICT
Other - Org Name:NURSING
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF ESE
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-486-5240
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:BRONSON
Mailing Address - State:FL
Mailing Address - Zip Code:32621-0129
Mailing Address - Country:US
Mailing Address - Phone:352-486-5240
Mailing Address - Fax:
Practice Address - Street 1:480 MARSHBURN DRIVE
Practice Address - Street 2:
Practice Address - City:BRONSON
Practice Address - State:FL
Practice Address - Zip Code:32621-0129
Practice Address - Country:US
Practice Address - Phone:352-486-5240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)