Healthcare Provider Details

I. General information

NPI: 1285777631
Provider Name (Legal Business Name): SANTA CRUZ VALLEY UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1374 W FRONTAGE RD
RIO RICO AZ
85648-6238
US

IV. Provider business mailing address

1374 W FRONTAGE RD
RIO RICO AZ
85648-6238
US

V. Phone/Fax

Practice location:
  • Phone: 520-375-8283
  • Fax: 520-377-0680
Mailing address:
  • Phone: 520-375-8283
  • Fax: 520-377-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: KRISTINE C FONTES
Title or Position: SPECIAL EDUCATION PROGRAMS MANAGER
Credential:
Phone: 520-375-8283