Provider Demographics
NPI:1528606639
Name:LOOGOOTEE COMMUNITY SCHOOL CORPORATION
Entity Type:Organization
Organization Name:LOOGOOTEE COMMUNITY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT PRINCIPLE
Authorized Official - Prefix:
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-295-3254
Mailing Address - Street 1:201 BROOKS AVE
Mailing Address - Street 2:
Mailing Address - City:LOOGOOTEE
Mailing Address - State:IN
Mailing Address - Zip Code:47553-1412
Mailing Address - Country:US
Mailing Address - Phone:812-295-3254
Mailing Address - Fax:
Practice Address - Street 1:201 BROOKS AVE
Practice Address - Street 2:
Practice Address - City:LOOGOOTEE
Practice Address - State:IN
Practice Address - Zip Code:47553-1412
Practice Address - Country:US
Practice Address - Phone:812-295-3254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)