Healthcare Provider Details

I. General information

NPI: 1770725970
Provider Name (Legal Business Name): VERMILION PARISH SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2009
Last Update Date: 04/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S JEFFERSON ST
ABBEVILLE LA
70510-5906
US

IV. Provider business mailing address

PO BOX 520
ABBEVILLE LA
70511-0520
US

V. Phone/Fax

Practice location:
  • Phone: 337-898-5795
  • Fax: 337-898-5816
Mailing address:
  • Phone: 337-898-5795
  • Fax: 337-898-5816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. LARRY GAGE
Title or Position: COORDINATING SUPERVISOR OF SPED
Credential:
Phone: 337-898-5795