Provider Demographics
NPI:1073807715
Name:CONSTELLATION SCHOOLS: MANSFIELD COMMUNITY ELEMENTARY
Entity Type:Organization
Organization Name:CONSTELLATION SCHOOLS: MANSFIELD COMMUNITY ELEMENTARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:BABB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-712-7600
Mailing Address - Street 1:5730 BROADVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1602
Mailing Address - Country:US
Mailing Address - Phone:216-712-7600
Mailing Address - Fax:
Practice Address - Street 1:215 N TRIMBLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-2630
Practice Address - Country:US
Practice Address - Phone:419-522-4578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-29
Last Update Date:2011-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)