Provider Demographics
NPI:1346462827
Name:LEFLORE COUNTY SCHOOLS
Entity Type:Organization
Organization Name:LEFLORE COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:CEDELL
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-453-8566
Mailing Address - Street 1:1901 HIGHWAY 82 W
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-2722
Mailing Address - Country:US
Mailing Address - Phone:662-453-8566
Mailing Address - Fax:662-459-7255
Practice Address - Street 1:1901 HIGHWAY 82 W
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-2722
Practice Address - Country:US
Practice Address - Phone:662-453-8566
Practice Address - Fax:662-459-7255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS09014213251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09014213Medicaid