Healthcare Provider Details

I. General information

NPI: 1821237710
Provider Name (Legal Business Name): FAYETTEVILLE-PERRY LOCAL SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2009
Last Update Date: 02/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S APPLE ST
FAYETTEVILLE OH
45118-8461
US

IV. Provider business mailing address

501 S APPLE ST
FAYETTEVILLE OH
45118-8461
US

V. Phone/Fax

Practice location:
  • Phone: 513-875-3688
  • Fax: 513-875-2703
Mailing address:
  • Phone: 513-875-3688
  • Fax: 513-875-2703

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. JO ANNA CARRAHER
Title or Position: TREASURER
Credential:
Phone: 513-875-3688