Provider Demographics
NPI:1801010160
Name:JESSIEVILLE SCHOOL
Entity Type:Organization
Organization Name:JESSIEVILLE SCHOOL
Other - Org Name:SPECIAL EDUCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LEA SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-262-5950
Mailing Address - Street 1:PO BOX 4
Mailing Address - Street 2:
Mailing Address - City:JESSIEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71949-0004
Mailing Address - Country:US
Mailing Address - Phone:501-262-5950
Mailing Address - Fax:501-262-5960
Practice Address - Street 1:7900 HWY 7N
Practice Address - Street 2:
Practice Address - City:JESSIEVILLE
Practice Address - State:AR
Practice Address - Zip Code:71949-0004
Practice Address - Country:US
Practice Address - Phone:501-262-5950
Practice Address - Fax:501-262-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)