Provider Demographics
NPI:1083815641
Name:MONROE GREGG SCHOOL CORPORATION
Entity Type:Organization
Organization Name:MONROE GREGG SCHOOL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:MAE
Authorized Official - Phone:317-996-2259
Mailing Address - Street 1:205 SOUTH CHESTNUT ST.REET
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:IN
Mailing Address - Zip Code:46157-0468
Mailing Address - Country:US
Mailing Address - Phone:317-996-2259
Mailing Address - Fax:317-996-4671
Practice Address - Street 1:205 SOUTH CHESTNUT
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:IN
Practice Address - Zip Code:46157-0468
Practice Address - Country:US
Practice Address - Phone:317-996-2259
Practice Address - Fax:317-996-4671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)