Blast Iu17
NPI #1457410193 in Canton, Pennsylvania
Provider Information
- NPI Number
- 1457410193
- Entity Type
- Organization
- Organization Name
- Blast Iu17
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- Dec 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- RR 2 BOX 3364
- City
- Canton
- State
- Pennsylvania
- ZIP Code
- 17724-8651
- Phone
- (570) 673-6001
Authorized Official
- Name
- JOHN E BRENCHLEY
- Title
- DIRECTOR OF MANAGEMENT SERVICES
- Phone
- (570) 673-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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