Provider Demographics
NPI:1407306301
Name:AUSTIN ALBERT LEA SPECIAL EDUCATION COOP
Entity Type:Organization
Organization Name:AUSTIN ALBERT LEA SPECIAL EDUCATION COOP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLRODT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-460-1917
Mailing Address - Street 1:2001 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:MN
Mailing Address - Zip Code:55912-1185
Mailing Address - Country:US
Mailing Address - Phone:507-460-1917
Mailing Address - Fax:
Practice Address - Street 1:2001 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:MN
Practice Address - Zip Code:55912-1185
Practice Address - Country:US
Practice Address - Phone:507-460-1917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6095-52251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)