MEDICARE: TOWN OF GRAFTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598882920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF GRAFTON

Provider Business Mailing Address
First Line	:	PO BOX 540
Second Line	:
City	:	GRAFTON
State	:	MA
Zip	:	01519-0540
Country	:	US
Telephone Number	:	781-986-1785
Fax Number	:	781-961-6999

Provider Business Practice Location Address
First Line	:	30 PROVIDENCE RD
Second Line	:
City	:	GRAFTON
State	:	MA
Zip	:	01519-1511
Country	:	US
Telephone Number	:	781-986-1785
Fax Number	:	781-961-6999

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL EDUCATION
Name	:	MS. DONNA DIAS
Credential	:
Telephone Number	:	781-986-1785

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	06/17/2008

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Directions to “TOWN OF GRAFTON ” Practice Location

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