Provider Demographics
NPI:1871042168
Name:WAYNE COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:WAYNE COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:JANELLE
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:304-412-5990
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:WV
Mailing Address - Zip Code:25570-0070
Mailing Address - Country:US
Mailing Address - Phone:304-272-5116
Mailing Address - Fax:
Practice Address - Street 1:212 N COURT ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:WV
Practice Address - Zip Code:25570-1141
Practice Address - Country:US
Practice Address - Phone:304-272-5116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV59488251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care