Provider Demographics
NPI:1700932936
Name:ROBERTSON COUNTY BOARD OF EDUCATION
Entity Type:Organization
Organization Name:ROBERTSON COUNTY BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-724-5421
Mailing Address - Street 1:181 N. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:MT. OLIVET
Mailing Address - State:KY
Mailing Address - Zip Code:41064-0168
Mailing Address - Country:US
Mailing Address - Phone:606-724-5421
Mailing Address - Fax:606-724-5225
Practice Address - Street 1:181 N .MAIN ST.
Practice Address - Street 2:
Practice Address - City:MT. OLIVET
Practice Address - State:KY
Practice Address - Zip Code:41064-0168
Practice Address - Country:US
Practice Address - Phone:606-724-5421
Practice Address - Fax:606-724-5225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY21101019Medicaid