Organization
WILLOW LAKE SCHOOL 12 3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET F DENMAN (BUSINESS MANAGER)
(605) 625-5945
Entity
Organization
Contact information
Practice address
400 GARFIELD ST, WILLOW LAKE, SD 57278
(605) 625-5945
(605) 625-3103
Mailing address
PO BOX 170, 400 GARFIELD ST, WILLOW LAKE, SD 57278
(605) 625-5945
(605) 625-3103
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5150480
—
SD
Enumeration date
09/20/2007
Last updated
09/20/2007
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