Provider Demographics
NPI:1275837213
Name:DYSART UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DYSART UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DONOHUE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:623-876-7351
Mailing Address - Street 1:17999 W SURPRISE FARMS LOOP S
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85388-6641
Mailing Address - Country:US
Mailing Address - Phone:623-876-7351
Mailing Address - Fax:623-876-7361
Practice Address - Street 1:17999 W SURPRISE FARMS LOOP S
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-6641
Practice Address - Country:US
Practice Address - Phone:623-876-7351
Practice Address - Fax:623-876-7361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child