# LAURENS SCHOOL DIST\#55

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

## Provider details

- **NPI number:** 1376557066
- **Authorized official:** MRS. ANN CANNADY SCHOOL DISTRICT (SPECIAL SERVICESMEDICAID)
- **Authorized official phone:** (864) 984-8128

## Contact information

- **Practice address:** 1029 W MAIN ST, LAURENS, SC 29360-2654
- **Practice address phone:** (864) 984-8128
- **Practice address fax:** (864) 984-8113
- **Mailing address:** 1029 W MAIN ST, LAURENS, SC 29360-2654
- **Mailing address phone:** (864) 984-8128
- **Mailing address fax:** (864) 984-8113

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SD3055 | — | SC |