Provider Demographics
NPI:1831254176
Name:LIVE OAK ELEMENTARY SCHOOL DISTRICT
Entity type:Organization
Organization Name:LIVE OAK ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-475-6333
Mailing Address - Street 1:984 BOSTWICK LN STE 1
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-1775
Mailing Address - Country:US
Mailing Address - Phone:831-475-6333
Mailing Address - Fax:831-475-2638
Practice Address - Street 1:984 BOSTWICK LN STE 1
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-1775
Practice Address - Country:US
Practice Address - Phone:831-475-6333
Practice Address - Fax:831-475-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)