Provider Demographics
NPI:1366743957
Name:EAST PRAIRIE R-II SCHOOL DISTRICT
Entity type:Organization
Organization Name:EAST PRAIRIE R-II SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:LESLI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-649-3564
Mailing Address - Street 1:304 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:EAST PRAIRIE
Mailing Address - State:MO
Mailing Address - Zip Code:63845-1820
Mailing Address - Country:US
Mailing Address - Phone:573-649-3562
Mailing Address - Fax:573-649-5455
Practice Address - Street 1:304 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:EAST PRAIRIE
Practice Address - State:MO
Practice Address - Zip Code:63845-1820
Practice Address - Country:US
Practice Address - Phone:573-649-3562
Practice Address - Fax:573-649-5455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)