Provider Demographics
NPI:1235369869
Name:WILTON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WILTON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SUPPORT
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MALOUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-878-8129
Mailing Address - Street 1:1 CHALET DRIVE
Mailing Address - Street 2:PO BOX 1149
Mailing Address - City:WILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03086
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 CHALET DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:WILTON
Practice Address - State:NH
Practice Address - Zip Code:03086
Practice Address - Country:US
Practice Address - Phone:603-878-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH50004144OtherLEA - MEDICAID