Provider Demographics
NPI:1760553572
Name:COUNTY OF BLUE EARTH INDEPENDENT SCHOOL DISTRICT 77
Entity Type:Organization
Organization Name:COUNTY OF BLUE EARTH INDEPENDENT SCHOOL DISTRICT 77
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THIRD PARTY CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-345-3015
Mailing Address - Street 1:1610 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56003-1912
Mailing Address - Country:US
Mailing Address - Phone:507-345-3015
Mailing Address - Fax:507-387-8286
Practice Address - Street 1:1610 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:NORTH MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56003-1912
Practice Address - Country:US
Practice Address - Phone:507-345-3015
Practice Address - Fax:507-387-8286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)