Provider Demographics
NPI:1699984757
Name:WEST LYON COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:WEST LYON COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEJONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:712-753-4917
Mailing Address - Street 1:1787 IA 182 STREET
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51240-0001
Mailing Address - Country:US
Mailing Address - Phone:712-753-4917
Mailing Address - Fax:712-753-4928
Practice Address - Street 1:1787 IA 182 STREET
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:IA
Practice Address - Zip Code:51240-0001
Practice Address - Country:US
Practice Address - Phone:712-753-4917
Practice Address - Fax:712-753-4928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)