Provider Demographics
NPI:1992814982
Name:SOUTHEAST FOUNTAIN SCHOOL CORPORATION
Entity type:Organization
Organization Name:SOUTHEAST FOUNTAIN SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-294-2254
Mailing Address - Street 1:744 EAST US HWY 136
Mailing Address - Street 2:
Mailing Address - City:VEEDERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47987
Mailing Address - Country:US
Mailing Address - Phone:765-294-2254
Mailing Address - Fax:765-294-3200
Practice Address - Street 1:744 E US HIGHWAY 136
Practice Address - Street 2:
Practice Address - City:VEEDERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47987-8106
Practice Address - Country:US
Practice Address - Phone:765-294-2254
Practice Address - Fax:765-294-3200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)