Provider Demographics
NPI:1982756748
Name:SUCCESS R-VI SCHOOL
Entity Type:Organization
Organization Name:SUCCESS R-VI SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-273-4274
Mailing Address - Street 1:10341 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:SUCCESS
Mailing Address - State:MO
Mailing Address - Zip Code:65570-9605
Mailing Address - Country:US
Mailing Address - Phone:417-967-2597
Mailing Address - Fax:417-967-5774
Practice Address - Street 1:10341 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:SUCCESS
Practice Address - State:MO
Practice Address - Zip Code:65570-9605
Practice Address - Country:US
Practice Address - Phone:417-967-2597
Practice Address - Fax:417-967-5774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)