Provider Demographics
NPI:1255498762
Name:LIVONIA CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LIVONIA CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BOJARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-346-4000
Mailing Address - Street 1:PO BOX E
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14487-0489
Mailing Address - Country:US
Mailing Address - Phone:585-346-4000
Mailing Address - Fax:585-346-6145
Practice Address - Street 1:6 PUPPY LANE
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:NY
Practice Address - Zip Code:14487-0489
Practice Address - Country:US
Practice Address - Phone:585-346-4000
Practice Address - Fax:585-346-6145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01442391Medicaid