Provider Demographics
NPI:1548453822
Name:SOUTHERN OHIO EDUCATIONAL SERVICE CENTER
Entity type:Organization
Organization Name:SOUTHERN OHIO EDUCATIONAL SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DALTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-382-6921
Mailing Address - Street 1:3321 AIRBORNE RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:45177-8969
Mailing Address - Country:US
Mailing Address - Phone:937-382-6921
Mailing Address - Fax:937-383-3171
Practice Address - Street 1:3321 AIRBORNE RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:OH
Practice Address - Zip Code:45177-8969
Practice Address - Country:US
Practice Address - Phone:937-382-6921
Practice Address - Fax:937-383-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)