Provider Demographics
NPI:1306266697
Name:DIRECTOR OF SCHOOLS - SULLIVAN COUNTY
Entity type:Organization
Organization Name:DIRECTOR OF SCHOOLS - SULLIVAN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:JUBAL
Authorized Official - Middle Name:C
Authorized Official - Last Name:YENNIE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:423-354-1000
Mailing Address - Street 1:154 BLOUNTVILLE BYP
Mailing Address - Street 2:
Mailing Address - City:BLOUNTVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37617-4575
Mailing Address - Country:US
Mailing Address - Phone:423-354-1000
Mailing Address - Fax:423-354-1074
Practice Address - Street 1:154 BLOUNTVILLE BYP
Practice Address - Street 2:
Practice Address - City:BLOUNTVILLE
Practice Address - State:TN
Practice Address - Zip Code:37617-4575
Practice Address - Country:US
Practice Address - Phone:423-354-1000
Practice Address - Fax:423-354-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)