Provider Demographics
NPI:1205040839
Name:REGIONAL SCHOOL UNIT NO 68 SCHOOL ADMINISTRATIVE UNIT NO 68
Entity Type:Organization
Organization Name:REGIONAL SCHOOL UNIT NO 68 SCHOOL ADMINISTRATIVE UNIT NO 68
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-564-6535
Mailing Address - Street 1:63 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER-FOXCROFT
Mailing Address - State:ME
Mailing Address - Zip Code:04426-1135
Mailing Address - Country:US
Mailing Address - Phone:207-564-6535
Mailing Address - Fax:207-564-6531
Practice Address - Street 1:63 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:DOVER-FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426
Practice Address - Country:US
Practice Address - Phone:207-564-6535
Practice Address - Fax:207-564-6531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251300000X
ME251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME104350000Medicaid