Central School District #104

NPI #1043356678 in O Fallon, Illinois

Provider Information

NPI Number
1043356678
Entity Type
Organization
Organization Name
Central School District #104
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
Jan 30, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
309 HARTMAN LN
ZIP Code
62269-1725
Phone
(618) 632-6336

Authorized Official

Name
MR. STEVE AMIZICH
Title
SUPERINTENDENT
Phone
(618) 632-6336

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)

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