Organization
SOUTHERN PRAIRIE AEA 15
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN BECKER (DIRECTOR OF SPECIAL EDUCATION)
(641) 682-8591
Entity
Organization
Contact information
Practice address
2814 N COURT ST, OTTUMWA, IA 52501-1163
(641) 682-8591
(641) 682-9083
Mailing address
2814 N COURT ST, OTTUMWA, IA 52501-1163
(641) 682-8591
(641) 682-9083
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259002
—
IA
Enumeration date
12/28/2006
Last updated
08/22/2020
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