Provider Demographics
NPI:1750561320
Name:JOHN GLENN SCHOOL CORPORATION
Entity type:Organization
Organization Name:JOHN GLENN SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:REESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-586-3129
Mailing Address - Street 1:101 JOHN GLENN DR
Mailing Address - Street 2:
Mailing Address - City:WALKERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46574-1440
Mailing Address - Country:US
Mailing Address - Phone:574-586-3129
Mailing Address - Fax:
Practice Address - Street 1:101 JOHN GLENN DR
Practice Address - Street 2:
Practice Address - City:WALKERTON
Practice Address - State:IN
Practice Address - Zip Code:46574-1440
Practice Address - Country:US
Practice Address - Phone:574-586-3129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)