Provider Demographics
NPI:1437457082
Name:INDEPENDENCE LOCAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:INDEPENDENCE LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TIFFINY
Authorized Official - Middle Name:
Authorized Official - Last Name:DELITIZIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-504-9808
Mailing Address - Street 1:7733 STONE RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-4813
Mailing Address - Country:US
Mailing Address - Phone:216-642-5850
Mailing Address - Fax:
Practice Address - Street 1:7733 STONE RD
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-4813
Practice Address - Country:US
Practice Address - Phone:216-642-5850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)