Organization
WAVERLY SCHOOL DISTRICT 14 5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY MARIE HEMMINGSON (BUSINESS MANAGER)
(605) 886-9174
Entity
Organization
Contact information
Practice address
319 MARY PLACE, WAVERLY, SD 57201-9700
(605) 886-9174
(605) 886-6630
Mailing address
319 MARY PLACE, WAVERLY, SD 57201-9700
(605) 886-9174
(605) 886-6630
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5150470
—
SD
Enumeration date
09/28/2007
Last updated
09/28/2007
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