Provider Demographics
NPI:1386780948
Name:SILOAM SPRINGS SCHOOL DISTRICT
Entity type:Organization
Organization Name:SILOAM SPRINGS SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-524-8130
Mailing Address - Street 1:825 S MAPLE ST
Mailing Address - Street 2:P.O. BOX798
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-4147
Mailing Address - Country:US
Mailing Address - Phone:479-524-8130
Mailing Address - Fax:479-549-3154
Practice Address - Street 1:825 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-4147
Practice Address - Country:US
Practice Address - Phone:479-524-8130
Practice Address - Fax:479-549-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)