Organization
NORTHWEST AEA 12
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER HESS (CO-DIRECTOR OF SPECIAL EDUCATION)
(712) 274-6000
Entity
Organization
Contact information
Practice address
1520 MORNINGSIDE AVE, SIOUX CITY, IA 51106-1716
(712) 274-6000
(712) 274-6115
Mailing address
1520 MORNINGSIDE AVE, SIOUX CITY, IA 51106-1716
(712) 274-6000
(712) 274-6115
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050294
—
IA
Enumeration date
12/21/2006
Last updated
08/22/2020
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