Organization
UNION-NORTH UNITED SCHOOL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY PHILLIPS (SUPERINTENDENT OF SCHOOLS)
(574) 784-8141
Entity
Organization
Contact information
Practice address
22601 TYLER RD, LAKEVILLE, IN 46536-9733
(574) 784-8141
(574) 784-2181
Mailing address
22601 TYLER RD, LAKEVILLE, IN 46536-9733
(574) 784-8141
(574) 784-2181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IN
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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