Provider Demographics
NPI:1336478916
Name:AROMAS-SAN JUAN UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:AROMAS-SAN JUAN UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-623-4500
Mailing Address - Street 1:2300 SAN JUAN HWY
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN BAUTISTA
Mailing Address - State:CA
Mailing Address - Zip Code:95045-9557
Mailing Address - Country:US
Mailing Address - Phone:831-623-4500
Mailing Address - Fax:831-623-4907
Practice Address - Street 1:2300 SAN JUAN HWY
Practice Address - Street 2:
Practice Address - City:SAN JUAN BAUTISTA
Practice Address - State:CA
Practice Address - Zip Code:95045-9557
Practice Address - Country:US
Practice Address - Phone:831-623-4500
Practice Address - Fax:831-623-4907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS3575259Medicaid