Organization
SOUTHWESTERN CON SCH SHELBY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY SARGENT (SUPERINTENDENT)
(317) 729-5746
Entity
Organization
Contact information
Practice address
3406 W 600 S, SHELBYVILLE, IN 46176-9631
(317) 729-5746
Mailing address
3406 W 600 S, SHELBYVILLE, IN 46176-9631
(317) 729-5746
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100472660A
—
IN
Enumeration date
08/06/2010
Last updated
08/06/2010
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