=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861549917
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EASTERN LANCASTER COUNTY SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/04/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 669 E MAIN ST
-----------------------------------------------------
City | NEW HOLLAND
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17557-1409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-354-1509
-----------------------------------------------------
Fax | 717-354-1512
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 669 E MAIN ST PO BOX 609
-----------------------------------------------------
City | NEW HOLLAND
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17557-1409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-354-1509
-----------------------------------------------------
Fax | 717-354-1512
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF SPECIAL SERVICES
-----------------------------------------------------
Name | MRS. NADINE A LARKIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 717-354-1509
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------