Healthcare Provider Details

I. General information

NPI: 1356366801
Provider Name (Legal Business Name): APPOMATTOX COUNTY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 COURT STREET
APPOMATTOX VA
24522
US

IV. Provider business mailing address

316 COURT STREET
APPOMATTOX VA
24522
US

V. Phone/Fax

Practice location:
  • Phone: 434-352-8251
  • Fax: 434-352-0883
Mailing address:
  • Phone: 434-352-8251
  • Fax: 434-352-0883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number004981278
License Number StateVA

VIII. Authorized Official

Name: DR. DORINDA G. GRASTY
Title or Position: DIR. OF REMEDIAL AND SPECIAL EDUCAT
Credential:
Phone: 434-352-8251