Provider Demographics
NPI:1295154961
Name:SOUTH HENRY SCHOOL CORPORATION
Entity type:Organization
Organization Name:SOUTH HENRY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATION TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-987-7882
Mailing Address - Street 1:6972 S STATE ROAD 103
Mailing Address - Street 2:
Mailing Address - City:STRAUGHN
Mailing Address - State:IN
Mailing Address - Zip Code:47387-9720
Mailing Address - Country:US
Mailing Address - Phone:765-987-7882
Mailing Address - Fax:765-987-7589
Practice Address - Street 1:6972 S STATE ROAD 103
Practice Address - Street 2:
Practice Address - City:STRAUGHN
Practice Address - State:IN
Practice Address - Zip Code:47387-9720
Practice Address - Country:US
Practice Address - Phone:765-987-7882
Practice Address - Fax:765-987-7589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN251300000XMedicaid