Healthcare Provider Details

I. General information

NPI: 1568601128
Provider Name (Legal Business Name): GRAHAM LOCAL SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2009
Last Update Date: 05/24/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9915 W US HWY 36
SAINT PARIS OH
43072
US

IV. Provider business mailing address

9915 W US HWY 36
SAINT PARIS OH
43072
US

V. Phone/Fax

Practice location:
  • Phone: 937-663-4123
  • Fax:
Mailing address:
  • Phone: 937-663-4123
  • Fax:

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: KRISTINE PURTEE
Title or Position: TREASURER
Credential:
Phone: 937-663-4123