Provider Demographics
NPI:1669626594
Name:REORGANIZED SCHOOL DISTRICT 5
Entity Type:Organization
Organization Name:REORGANIZED SCHOOL DISTRICT 5
Other - Org Name:DELTA R-V
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPECIAL SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-794-2500
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:MO
Mailing Address - Zip Code:63744-0219
Mailing Address - Country:US
Mailing Address - Phone:573-794-2500
Mailing Address - Fax:573-794-2504
Practice Address - Street 1:124 E MCKINLEY
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:MO
Practice Address - Zip Code:63744
Practice Address - Country:US
Practice Address - Phone:573-794-2500
Practice Address - Fax:573-794-2504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty