Provider Demographics
NPI:1124255062
Name:GENOA AREA LOCAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:GENOA AREA LOCAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-855-7741
Mailing Address - Street 1:2810 N GENOA CLAY CENTER RD
Mailing Address - Street 2:
Mailing Address - City:GENOA
Mailing Address - State:OH
Mailing Address - Zip Code:43430-9730
Mailing Address - Country:US
Mailing Address - Phone:419-855-7741
Mailing Address - Fax:419-855-4030
Practice Address - Street 1:2980 N GENOA CLAY CENTER RD
Practice Address - Street 2:
Practice Address - City:GENOA
Practice Address - State:OH
Practice Address - Zip Code:43430-9733
Practice Address - Country:US
Practice Address - Phone:419-855-7735
Practice Address - Fax:419-855-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)