Organization
JACKSON COUNTY INTERMEDIATE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GRAVES PH.D. (SUPERINTENDENT)
(517) 768-5200
Entity
Organization
Contact information
Practice address
6700 BROWNS LAKE RD, JACKSON, MI 49201-8379
(517) 768-5200
(517) 768-5261
Mailing address
6700 BROWNS LAKE ROAD, JACKSON, MI 49201-8379
(517) 768-5200
(517) 768-5261
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2749448
—
MI
Enumeration date
07/13/2006
Last updated
08/22/2020
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