Provider Demographics
NPI:1619423837
Name:BLUFF DALE INDEPENDENT SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BLUFF DALE INDEPENDENT SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-898-3906
Mailing Address - Street 1:PO BOX 2129
Mailing Address - Street 2:
Mailing Address - City:GLEN ROSE
Mailing Address - State:TX
Mailing Address - Zip Code:76043-2129
Mailing Address - Country:US
Mailing Address - Phone:254-898-3906
Mailing Address - Fax:254-897-7040
Practice Address - Street 1:710 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:BLUFF DALE
Practice Address - State:TX
Practice Address - Zip Code:76433
Practice Address - Country:US
Practice Address - Phone:254-728-3277
Practice Address - Fax:254-728-3298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)