Provider Demographics
NPI:1932269123
Name:DEQUEEN-MENA EDUCATIONAL COOPERATIVE
Entity Type:Organization
Organization Name:DEQUEEN-MENA EDUCATIONAL COOPERATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:J. FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-386-2251
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:305 S HORNBERG AVE
Mailing Address - City:GILLHAM
Mailing Address - State:AR
Mailing Address - Zip Code:71841-0110
Mailing Address - Country:US
Mailing Address - Phone:870-386-2251
Mailing Address - Fax:870-386-7731
Practice Address - Street 1:305 S HORNBERG AVE
Practice Address - Street 2:
Practice Address - City:GILLHAM
Practice Address - State:AR
Practice Address - Zip Code:71841
Practice Address - Country:US
Practice Address - Phone:870-386-2251
Practice Address - Fax:870-386-7731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)