Provider Demographics
NPI:1205978137
Name:DOVER-EYOTA 533
Entity type:Organization
Organization Name:DOVER-EYOTA 533
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-767-3339
Mailing Address - Street 1:615 SOUTH AVENE SE
Mailing Address - Street 2:
Mailing Address - City:EYOTA
Mailing Address - State:MN
Mailing Address - Zip Code:55984-9777
Mailing Address - Country:US
Mailing Address - Phone:507-545-2631
Mailing Address - Fax:
Practice Address - Street 1:615 SOUTH AVE SE
Practice Address - Street 2:
Practice Address - City:EYOTA
Practice Address - State:MN
Practice Address - Zip Code:55984-9777
Practice Address - Country:US
Practice Address - Phone:507-545-2631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)