Provider Demographics
NPI:1568661130
Name:JAMP SPECIAL EDUCATION SERVICES
Entity Type:Organization
Organization Name:JAMP SPECIAL EDUCATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KREMPASKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-634-9800
Mailing Address - Street 1:PO BOX 107
Mailing Address - Street 2:251 W 2ND ST
Mailing Address - City:GRAND CHAIN
Mailing Address - State:IL
Mailing Address - Zip Code:62941-0107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:251 W 2ND ST
Practice Address - Street 2:
Practice Address - City:GRAND CHAIN
Practice Address - State:IL
Practice Address - Zip Code:62941-0107
Practice Address - Country:US
Practice Address - Phone:618-634-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)