Provider Demographics
NPI:1477787133
Name:REORGANIZED SCHOOL DISTRICT 2 OF COLE COUNTY
Entity Type:Organization
Organization Name:REORGANIZED SCHOOL DISTRICT 2 OF COLE COUNTY
Other - Org Name:BLAIR OAKS R-II
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPECIAL SERVICES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-636-2020
Mailing Address - Street 1:6124 FALCON LN
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-9751
Mailing Address - Country:US
Mailing Address - Phone:573-636-2020
Mailing Address - Fax:573-636-2202
Practice Address - Street 1:6124 FALCON LN
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-9751
Practice Address - Country:US
Practice Address - Phone:573-636-2020
Practice Address - Fax:573-636-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty