Organization
LAURENS SCHOOL DIST#55
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN CANNADY SCHOOL DISTRICT (SPECIAL SERVICESMEDICAID)
(864) 984-8128
Entity
Organization
Contact information
Practice address
1029 W MAIN ST, LAURENS, SC 29360-2654
(864) 984-8128
(864) 984-8113
Mailing address
1029 W MAIN ST, LAURENS, SC 29360-2654
(864) 984-8128
(864) 984-8113
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD3055
—
SC
Enumeration date
07/28/2006
Last updated
07/21/2022
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