Healthcare Provider Details

I. General information

NPI: 1750529020
Provider Name (Legal Business Name): SOUTHINGTON LOCAL SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4432 STATE ROUTE 305
SOUTHINGTON OH
44470-9721
US

IV. Provider business mailing address

4432 STATE ROUTE 305
SOUTHINGTON OH
44470-9721
US

V. Phone/Fax

Practice location:
  • Phone: 330-898-7480
  • Fax: 330-898-4828
Mailing address:
  • Phone: 330-898-7480
  • Fax: 330-898-4828

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. FRANK DANSO
Title or Position: SUPERINTENDENT
Credential:
Phone: 330-898-7480