Provider Demographics
NPI:1164810107
Name:ROSELAND SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ROSELAND SCHOOL DISTRICT
Other - Org Name:ROSELAND ELEMENTARY SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES-KERR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-545-0102
Mailing Address - Street 1:1934 BIWANA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95407-7433
Mailing Address - Country:US
Mailing Address - Phone:707-545-0102
Mailing Address - Fax:707-545-5096
Practice Address - Street 1:1934 BIWANA DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-7433
Practice Address - Country:US
Practice Address - Phone:707-545-0102
Practice Address - Fax:707-545-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)