Provider Demographics
NPI:1194961094
Name:LYMAN SCHOOL DISTRICT
Entity type:Organization
Organization Name:LYMAN SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:UTHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-895-2579
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:PRESHO
Mailing Address - State:SD
Mailing Address - Zip Code:57568-1000
Mailing Address - Country:US
Mailing Address - Phone:605-895-2579
Mailing Address - Fax:605-895-2216
Practice Address - Street 1:201 SOUTH BIRCH AVENUE
Practice Address - Street 2:
Practice Address - City:PRESHO
Practice Address - State:SD
Practice Address - Zip Code:57568
Practice Address - Country:US
Practice Address - Phone:605-895-2579
Practice Address - Fax:605-895-2216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities