Healthcare Provider Details

I. General information

NPI: 1528094083
Provider Name (Legal Business Name): WILSON SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 GRANDVIEW BLVD
WEST LAWN PA
19609-1324
US

IV. Provider business mailing address

2601 GRANDVIEW BLVD
WEST LAWN PA
19609-1324
US

V. Phone/Fax

Practice location:
  • Phone: 610-670-0180
  • Fax:
Mailing address:
  • Phone: 610-670-0180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. DIANE J RICHARDS
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 610-670-0180