Provider Demographics
NPI:1063582336
Name:BLECKLEY COUNTY BOARD OF EDUCATION
Entity type:Organization
Organization Name:BLECKLEY COUNTY BOARD OF EDUCATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:L.C.
Authorized Official - Middle Name:BUSTER
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-934-6726
Mailing Address - Street 1:1100 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-5522
Mailing Address - Country:US
Mailing Address - Phone:478-275-1018
Mailing Address - Fax:478-296-7766
Practice Address - Street 1:909 DYKES ST NE
Practice Address - Street 2:
Practice Address - City:COCHRAN
Practice Address - State:GA
Practice Address - Zip Code:31014-2045
Practice Address - Country:US
Practice Address - Phone:478-934-6726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)