Organization
CENTERVILLE CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA S HENDERSON (BOARD SECRETARY)
(641) 856-0603
Entity
Organization
Contact information
Practice address
634 N MAIN ST, CENTERVILLE, IA 52544-1414
(641) 856-0603
(641) 856-0656
Mailing address
634 N MAIN ST, PO BOX 370, CENTERVILLE, IA 52544-1414
(641) 856-0603
(641) 856-0656
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269464
—
IA
Enumeration date
08/05/2006
Last updated
08/22/2020
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