Provider Demographics
NPI:1780824110
Name:LIBERTY CENTER LOCAL SD
Entity Type:Organization
Organization Name:LIBERTY CENTER LOCAL SD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-533-5011
Mailing Address - Street 1:103 WEST YOUNG ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43532
Mailing Address - Country:US
Mailing Address - Phone:419-533-5011
Mailing Address - Fax:
Practice Address - Street 1:103 WEST YOUNG ST
Practice Address - Street 2:
Practice Address - City:LIBERTY CENTER
Practice Address - State:OH
Practice Address - Zip Code:43532
Practice Address - Country:US
Practice Address - Phone:419-533-5011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)