Provider Demographics
NPI:1891838884
Name:MILLER COUNTY RIII SCHOOL
Entity Type:Organization
Organization Name:MILLER COUNTY RIII SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DIEFENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-369-2375
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65082-0001
Mailing Address - Country:US
Mailing Address - Phone:573-369-2375
Mailing Address - Fax:573-369-2833
Practice Address - Street 1:526 SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65082-0001
Practice Address - Country:US
Practice Address - Phone:573-369-2375
Practice Address - Fax:573-369-2833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)