Provider Demographics
NPI:1770351512
Name:SOUTHEAST VALLEY COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:SOUTHEAST VALLEY COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WILLARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-352-5571
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:GOWRIE
Mailing Address - State:IA
Mailing Address - Zip Code:50543-0049
Mailing Address - Country:US
Mailing Address - Phone:515-352-5571
Mailing Address - Fax:515-352-5573
Practice Address - Street 1:1111 BEEK ST
Practice Address - Street 2:
Practice Address - City:GOWRIE
Practice Address - State:IA
Practice Address - Zip Code:50543-7547
Practice Address - Country:US
Practice Address - Phone:515-352-5571
Practice Address - Fax:515-352-5573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)