Healthcare Provider Details

I. General information

NPI: 1881775849
Provider Name (Legal Business Name): LINCOLN COUNTY SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 N GENERALS BLVD
LINCOLNTON NC
28092-3558
US

IV. Provider business mailing address

353 N GENERALS BLVD
LINCOLNTON NC
28092-3558
US

V. Phone/Fax

Practice location:
  • Phone: 704-732-2261
  • Fax: 704-736-4321
Mailing address:
  • Phone: 704-732-2261
  • Fax: 704-736-4321

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: MRS. JILL S. EADDY
Title or Position: DIRECTOR OF EXC CHILDREN SERVICES
Credential: MA, ED.S
Phone: 704-736-4992