Provider Demographics
NPI:1053436014
Name:DEWAR SCHOOL
Entity type:Organization
Organization Name:DEWAR SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SP. ED DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKY
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-652-7881
Mailing Address - Street 1:PO BOX 790
Mailing Address - Street 2:
Mailing Address - City:DEWAR
Mailing Address - State:OK
Mailing Address - Zip Code:74431-0790
Mailing Address - Country:US
Mailing Address - Phone:918-652-7881
Mailing Address - Fax:918-652-3096
Practice Address - Street 1:204 EAST 5TH
Practice Address - Street 2:
Practice Address - City:DEWAR
Practice Address - State:OK
Practice Address - Zip Code:74431
Practice Address - Country:US
Practice Address - Phone:918-652-7881
Practice Address - Fax:918-652-3096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)