Provider Demographics
NPI:1275798597
Name:MOHAVE VALLEY ELEMENTARY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MOHAVE VALLEY ELEMENTARY SCHOOL DISTRICT
Other - Org Name:MOHAVE VALLEY ELEMENTARY SCHOOL
Other - Org Type:Other Name
Authorized Official - Title/Position:GUIDANCE COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MASTER OF EDUCATION
Authorized Official - Phone:928-279-7542
Mailing Address - Street 1:2074 MAYA DR
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86401-6501
Mailing Address - Country:US
Mailing Address - Phone:928-279-7542
Mailing Address - Fax:
Practice Address - Street 1:8450 S. OLIVE ST.
Practice Address - Street 2:
Practice Address - City:MOHAVE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86440
Practice Address - Country:US
Practice Address - Phone:928-768-2507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-25
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)