Provider Demographics
NPI:1245381243
Name:WILEY SCHOOL DISTRICT RE-13JT
Entity type:Organization
Organization Name:WILEY SCHOOL DISTRICT RE-13JT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDANT
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-829-4806
Mailing Address - Street 1:505 WARD STREET
Mailing Address - Street 2:P.O. BOX 247
Mailing Address - City:WILEY
Mailing Address - State:CO
Mailing Address - Zip Code:81092
Mailing Address - Country:US
Mailing Address - Phone:719-829-4806
Mailing Address - Fax:719-829-4805
Practice Address - Street 1:505 WARD STREET
Practice Address - Street 2:
Practice Address - City:WILEY
Practice Address - State:CO
Practice Address - Zip Code:81092
Practice Address - Country:US
Practice Address - Phone:719-829-4806
Practice Address - Fax:719-829-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)