Provider Demographics
NPI:1508003773
Name:WOLF BRANCH SCHOOL DIST. 113
Entity Type:Organization
Organization Name:WOLF BRANCH SCHOOL DIST. 113
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-277-2100
Mailing Address - Street 1:410 HUNTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-1824
Mailing Address - Country:US
Mailing Address - Phone:618-277-2100
Mailing Address - Fax:618-277-5461
Practice Address - Street 1:410 HUNTWOOD RD
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-1824
Practice Address - Country:US
Practice Address - Phone:618-277-2100
Practice Address - Fax:618-277-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)