Provider Demographics
NPI:1215065974
Name:LAVACA SCHOOL DISTRICT
Entity type:Organization
Organization Name:LAVACA SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEVELAND
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:479-674-5611
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:LAVACA
Mailing Address - State:AR
Mailing Address - Zip Code:72941-0008
Mailing Address - Country:US
Mailing Address - Phone:479-674-5611
Mailing Address - Fax:479-674-2271
Practice Address - Street 1:203 FIR STREET
Practice Address - Street 2:
Practice Address - City:LAVACA
Practice Address - State:AR
Practice Address - Zip Code:72941
Practice Address - Country:US
Practice Address - Phone:479-674-5611
Practice Address - Fax:479-674-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)