Healthcare Provider Details

I. General information

NPI: 1508070194
Provider Name (Legal Business Name): WATERVILLEL VALLEY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NOON PEAK ROAD WATERVILLE VALLEY SCHOOL DISTRICT
WATERVILLE VALLEY NH
03215
US

IV. Provider business mailing address

47 OLD WARD BRIDGE ROAD SAU 48
PLYMOUTH NV
03264
US

V. Phone/Fax

Practice location:
  • Phone: 603-536-1254
  • Fax:
Mailing address:
  • Phone: 603-536-1254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FRANCES GONSALVES
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 603-536-1254