Provider Demographics
NPI:1760721864
Name:EASTBROOK COMMUNITY SCHOOLS CORPORATION
Entity Type:Organization
Organization Name:EASTBROOK COMMUNITY SCHOOLS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:T
Authorized Official - Last Name:GARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:ED S
Authorized Official - Phone:765-664-0624
Mailing Address - Street 1:560 S 900 E
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46953-9629
Mailing Address - Country:US
Mailing Address - Phone:765-664-0624
Mailing Address - Fax:
Practice Address - Street 1:560 S 900 E
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46953-9629
Practice Address - Country:US
Practice Address - Phone:765-664-0624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)