| Organization Name: | BOLIVAR R0I |
| NPI Number: | 1578681607 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMARA LYNN DAUGHTREY (SPEECH THERAPIST) |
| Mailing Address: | 604 W Jackson St Bolivar |
| State: | MO US |
| Postal Code: | 656131904 |
| Phone Number: | 4173263811 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 08/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251300000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Local Education Agency (LEA) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |