Provider Demographics
NPI:1245370410
Name:SOUTHEASTERN SCHOOL CORPORATION
Entity type:Organization
Organization Name:SOUTHEASTERN SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-626-2525
Mailing Address - Street 1:6422 E STATE ROAD 218
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:IN
Mailing Address - Zip Code:46994-9303
Mailing Address - Country:US
Mailing Address - Phone:574-626-2525
Mailing Address - Fax:574-626-2757
Practice Address - Street 1:6422 E STATE ROAD 218
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:IN
Practice Address - Zip Code:46994-9303
Practice Address - Country:US
Practice Address - Phone:574-626-2525
Practice Address - Fax:574-626-2757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)