# NORTHEAST RANDOLPH CO. R-IV

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

## Provider details

- **NPI number:** 1700367778
- **Authorized official:** SHANNA WEBER (DIRECTOR OF SPECIAL EDUCATION)
- **Authorized official phone:** (660) 263-2788

## Contact information

- **Practice address:** 301 W MARTIN ST, CAIRO, MO 65239-1006
- **Practice address phone:** (660) 263-2788
- **Mailing address:** 301 W MARTIN ST, CAIRO, MO 65239-1006
- **Mailing address phone:** (660) 263-2788

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2018
- **Last updated:** 08/27/2018