Provider Demographics
NPI:1235325986
Name:ENTERPRISE ELEMENTARY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ENTERPRISE ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPPORT SERVICES SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-224-4100
Mailing Address - Street 1:1155 MISTLETOE LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0749
Mailing Address - Country:US
Mailing Address - Phone:530-224-4100
Mailing Address - Fax:530-224-4109
Practice Address - Street 1:1155 MISTLETOE LN
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0749
Practice Address - Country:US
Practice Address - Phone:530-224-4100
Practice Address - Fax:530-224-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASS4569971251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)