Provider Demographics
NPI:1689844862
Name:COUNTY OF PULASKI SCHOOL DISTRICT NO.100
Entity Type:Organization
Organization Name:COUNTY OF PULASKI SCHOOL DISTRICT NO.100
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-845-3447
Mailing Address - Street 1:4721 SHAWNEE COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:ULLIN
Mailing Address - State:IL
Mailing Address - Zip Code:62992-2201
Mailing Address - Country:US
Mailing Address - Phone:618-845-3572
Mailing Address - Fax:
Practice Address - Street 1:4721 SHAWNEE COLLEGE RD
Practice Address - Street 2:
Practice Address - City:ULLIN
Practice Address - State:IL
Practice Address - Zip Code:62992-2201
Practice Address - Country:US
Practice Address - Phone:618-845-3572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)