Provider Demographics
NPI:1285787697
Name:HARMONY GROVE PUBLIC SCHOOLS - BENTON
Entity type:Organization
Organization Name:HARMONY GROVE PUBLIC SCHOOLS - BENTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:501-778-2107
Mailing Address - Street 1:2621 N HIGHWAY 229
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-7206
Mailing Address - Country:US
Mailing Address - Phone:501-778-2107
Mailing Address - Fax:501-778-3964
Practice Address - Street 1:2621 N HIGHWAY 229
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-7206
Practice Address - Country:US
Practice Address - Phone:501-778-2107
Practice Address - Fax:501-778-3964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)