Provider Demographics
NPI:1023264264
Name:PEQUEA VALLEY SCHOOL DISTRICT
Entity type:Organization
Organization Name:PEQUEA VALLEY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LE SAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-768-5577
Mailing Address - Street 1:P.O. BOX 130
Mailing Address - Street 2:166 S. NEW HOLLAND RD.
Mailing Address - City:KINZERS
Mailing Address - State:PA
Mailing Address - Zip Code:17535-0130
Mailing Address - Country:US
Mailing Address - Phone:717-768-5577
Mailing Address - Fax:
Practice Address - Street 1:166 S. NEW HOLLAND RD.
Practice Address - Street 2:
Practice Address - City:KINZERS
Practice Address - State:PA
Practice Address - Zip Code:17535-0130
Practice Address - Country:US
Practice Address - Phone:717-768-5577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)