Provider Demographics
NPI:1316078520
Name:EASTERN PULASKI COMMUNITY SCHOOL CORPORATION
Entity type:Organization
Organization Name:EASTERN PULASKI COMMUNITY SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KLITZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-946-4010
Mailing Address - Street 1:711 SCHOOL DRIVE
Mailing Address - Street 2:
Mailing Address - City:WINAMAC
Mailing Address - State:IN
Mailing Address - Zip Code:46996
Mailing Address - Country:US
Mailing Address - Phone:574-946-4010
Mailing Address - Fax:574-946-4510
Practice Address - Street 1:711 SCHOOL DRIVE
Practice Address - Street 2:
Practice Address - City:WINAMAC
Practice Address - State:IN
Practice Address - Zip Code:46996
Practice Address - Country:US
Practice Address - Phone:574-946-4010
Practice Address - Fax:574-946-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)