Provider Demographics
NPI:1750487450
Name:FLOWING WELLS UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FLOWING WELLS UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GROUND
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:520-696-8836
Mailing Address - Street 1:1450 W PRINCE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-3014
Mailing Address - Country:US
Mailing Address - Phone:520-696-8836
Mailing Address - Fax:520-690-2405
Practice Address - Street 1:1450 W PRINCE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-3014
Practice Address - Country:US
Practice Address - Phone:520-696-8836
Practice Address - Fax:520-690-2405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ554114251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)