Provider Demographics
NPI:1679771877
Name:SOUTHWEST LICKING LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:SOUTHWEST LICKING LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-927-3941
Mailing Address - Street 1:927A SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-6002
Mailing Address - Country:US
Mailing Address - Phone:740-927-3941
Mailing Address - Fax:740-927-4648
Practice Address - Street 1:927A SOUTH ST
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-6002
Practice Address - Country:US
Practice Address - Phone:740-927-3941
Practice Address - Fax:740-927-4648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)