Organization
SERGEANT BLUFF-LUTON COMMUNITY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J MOHR (BUSINESS MANAGER)
(712) 943-4338
Entity
Organization
Contact information
Practice address
201 PORT NEAL RD, SERGEANT BLUFF, IA 51054-0097
(712) 943-4338
(712) 943-1131
Mailing address
201 PORT NEAL RD, P O BOX 97, SERGEANT BLUFF, IA 51054-0097
(712) 943-4338
(712) 943-1131
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0416149
—
IA
Enumeration date
11/01/2006
Last updated
08/22/2020
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