Provider Demographics
NPI:1619210135
Name:GRAPELAND I. S. D.
Entity Type:Organization
Organization Name:GRAPELAND I. S. D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-687-4619
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:GRAPELAND
Mailing Address - State:TX
Mailing Address - Zip Code:75844-0249
Mailing Address - Country:US
Mailing Address - Phone:936-687-4619
Mailing Address - Fax:936-687-4624
Practice Address - Street 1:210 3RD ST
Practice Address - Street 2:
Practice Address - City:GRAPELAND
Practice Address - State:TX
Practice Address - Zip Code:75844-3170
Practice Address - Country:US
Practice Address - Phone:936-687-4619
Practice Address - Fax:936-687-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)