Provider Demographics
NPI:1376016238
Name:MAHONING UNLIMITED CLASSROOM
Entity Type:Organization
Organization Name:MAHONING UNLIMITED CLASSROOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDDLESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-729-4141
Mailing Address - Street 1:7401 MARKET ST RM 519
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5651
Mailing Address - Country:US
Mailing Address - Phone:330-533-8755
Mailing Address - Fax:
Practice Address - Street 1:7401 MARKET ST RM 519
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-5651
Practice Address - Country:US
Practice Address - Phone:330-533-8755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
0013345OtherTRADING PARTNER ID