Provider Demographics
NPI:1730391335
Name:SOUTHERN HANCOCK SCHOOLS
Entity type:Organization
Organization Name:SOUTHERN HANCOCK SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNOLOGY COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:E
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-861-4463
Mailing Address - Street 1:4711 S. 500 W.
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:47362
Mailing Address - Country:US
Mailing Address - Phone:317-861-4463
Mailing Address - Fax:317-861-2142
Practice Address - Street 1:4711 S. 500 W.
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:47362
Practice Address - Country:US
Practice Address - Phone:317-861-4463
Practice Address - Fax:317-861-2142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)