Provider Demographics
NPI:1851429500
Name:JACKSON COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:JACKSON COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-259-9500
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-0490
Mailing Address - Country:US
Mailing Address - Phone:256-259-9500
Mailing Address - Fax:256-259-0076
Practice Address - Street 1:16003 AL HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-6706
Practice Address - Country:US
Practice Address - Phone:256-259-9500
Practice Address - Fax:256-259-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)