Provider Demographics
NPI:1558448381
Name:WILSON PUBLIC SCHOOL
Entity Type:Organization
Organization Name:WILSON PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-668-2355
Mailing Address - Street 1:1860 HEWITT RD
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:OK
Mailing Address - Zip Code:73463-1882
Mailing Address - Country:US
Mailing Address - Phone:580-668-2355
Mailing Address - Fax:580-668-2355
Practice Address - Street 1:1860 HEWITT RD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:OK
Practice Address - Zip Code:73463-1882
Practice Address - Country:US
Practice Address - Phone:580-668-2355
Practice Address - Fax:580-668-2355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty