Provider Demographics
NPI:1255662888
Name:AUGLAIZE COUNTY EDUCATIONAL ACADEMY
Entity Type:Organization
Organization Name:AUGLAIZE COUNTY EDUCATIONAL ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-738-3422
Mailing Address - Street 1:1130A EAST ALBERT ST.
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-1614
Mailing Address - Country:US
Mailing Address - Phone:419-738-4572
Mailing Address - Fax:419-738-4591
Practice Address - Street 1:1045 DEARBAUGH AVE STE 2
Practice Address - Street 2:
Practice Address - City:WAPAKONETA
Practice Address - State:OH
Practice Address - Zip Code:45895-9245
Practice Address - Country:US
Practice Address - Phone:419-738-4572
Practice Address - Fax:419-738-4591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)