Provider Demographics
NPI:1366487076
Name:CLARE GLADWIN RESD
Entity Type:Organization
Organization Name:CLARE GLADWIN RESD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THURLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-386-3682
Mailing Address - Street 1:4041 E MANNSIDING RD
Mailing Address - Street 2:
Mailing Address - City:CLARE
Mailing Address - State:MI
Mailing Address - Zip Code:48617-9753
Mailing Address - Country:US
Mailing Address - Phone:989-386-3682
Mailing Address - Fax:989-386-8072
Practice Address - Street 1:4041 E MANNSIDING RD
Practice Address - Street 2:
Practice Address - City:CLARE
Practice Address - State:MI
Practice Address - Zip Code:48617-9753
Practice Address - Country:US
Practice Address - Phone:989-386-3682
Practice Address - Fax:989-386-8072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3022398251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)