Provider Demographics
NPI:1568528974
Name:CLAYTON COUNTY PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:CLAYTON COUNTY PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEREDIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LANGHORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-362-3810
Mailing Address - Street 1:2260 OLD REX MORROW RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-1345
Mailing Address - Country:US
Mailing Address - Phone:404-362-3810
Mailing Address - Fax:404-362-3888
Practice Address - Street 1:2260 OLD REX MORROW RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1345
Practice Address - Country:US
Practice Address - Phone:404-362-3810
Practice Address - Fax:404-362-3888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00773297AMedicaid