# GREEN FOREST R-II

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194103192
- **Authorized official:** KEVEN PRUGH (SUPERINTENDENT)
- **Authorized official phone:** (573) 729-3902

## Contact information

- **Practice address:** 6111 HIGHWAY F, SALEM, MO 65560-9671
- **Practice address phone:** (573) 729-3902
- **Practice address fax:** (573) 729-4842
- **Mailing address:** 6111 HIGHWAY F, SALEM, MO 65560-9671
- **Mailing address phone:** (573) 729-3902
- **Mailing address fax:** (573) 729-4842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2015
- **Last updated:** 05/11/2015