Provider Demographics
NPI:1972654754
Name:SHERIDAN SCHOOL DISTRICT
Entity Type:Organization
Organization Name:SHERIDAN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DECORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-942-9861
Mailing Address - Street 1:400 N ROCK ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:AR
Mailing Address - Zip Code:72150-2228
Mailing Address - Country:US
Mailing Address - Phone:870-942-9861
Mailing Address - Fax:870-942-1675
Practice Address - Street 1:400 N ROCK ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:AR
Practice Address - Zip Code:72150-2228
Practice Address - Country:US
Practice Address - Phone:870-942-9861
Practice Address - Fax:870-942-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2705251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)