Healthcare Provider Details

I. General information

NPI: 1124149372
Provider Name (Legal Business Name): NORFOLK PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 MAIN ST H. OLIVE DAY SCHOOL
NORFOLK MA
02056-1338
US

IV. Provider business mailing address

232 MAIN ST H. OLIVE DAY SCHOOL
NORFOLK MA
02056-1338
US

V. Phone/Fax

Practice location:
  • Phone: 508-541-5478
  • Fax: 508-541-5482
Mailing address:
  • Phone: 508-541-5478
  • Fax: 508-541-5482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number251300000X
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number251B00000X
License Number StateMA

VIII. Authorized Official

Name: CAROL RICCARDI-GAHAN
Title or Position: DIRECTOR OF STUDENT SUPPORT SERVICE
Credential:
Phone: 508-541-5478