Provider Demographics
NPI:1104078245
Name:COLE COUNTY R-I SCHOOL DISTRICT
Entity type:Organization
Organization Name:COLE COUNTY R-I SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-782-3325
Mailing Address - Street 1:13111 PARK ST
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65074-1232
Mailing Address - Country:US
Mailing Address - Phone:573-782-3325
Mailing Address - Fax:
Practice Address - Street 1:13111 PARK ST
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:MO
Practice Address - Zip Code:65074-1232
Practice Address - Country:US
Practice Address - Phone:573-782-3325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)