Provider Demographics
NPI:1790841377
Name:JEFF DAVIS COUNTY SCHOOLS
Entity Type:Organization
Organization Name:JEFF DAVIS COUNTY SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMBALL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:912-375-6700
Mailing Address - Street 1:PO BOX 1780
Mailing Address - Street 2:
Mailing Address - City:HAZLEHURST
Mailing Address - State:GA
Mailing Address - Zip Code:31539-1780
Mailing Address - Country:US
Mailing Address - Phone:912-375-6700
Mailing Address - Fax:912-375-6703
Practice Address - Street 1:44 CHARLES ROGERS BLVD
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:GA
Practice Address - Zip Code:31539-6436
Practice Address - Country:US
Practice Address - Phone:912-375-6700
Practice Address - Fax:912-375-6703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)