Provider Demographics
NPI:1811289788
Name:ABILENE INDEPENDENT SCHIOOL DISTRICT
Entity type:Organization
Organization Name:ABILENE INDEPENDENT SCHIOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EARLY HEAD START DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GEORGIANA
Authorized Official - Middle Name:A
Authorized Official - Last Name:REAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:325-690-3770
Mailing Address - Street 1:3282 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4034
Mailing Address - Country:US
Mailing Address - Phone:325-690-3770
Mailing Address - Fax:325-674-1370
Practice Address - Street 1:3282 S 13TH ST
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-4034
Practice Address - Country:US
Practice Address - Phone:325-690-3770
Practice Address - Fax:325-674-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management