Provider Demographics
NPI:1386865509
Name:MILLINOCKET SCHOOL DEPARTMENT
Entity Type:Organization
Organization Name:MILLINOCKET SCHOOL DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-746-3500
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:
Mailing Address - City:MILLINOCKET
Mailing Address - State:ME
Mailing Address - Zip Code:04462-0030
Mailing Address - Country:US
Mailing Address - Phone:207-746-3500
Mailing Address - Fax:207-746-3516
Practice Address - Street 1:45 NORTH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:EAST MILLINOCKET
Practice Address - State:ME
Practice Address - Zip Code:04430-1150
Practice Address - Country:US
Practice Address - Phone:207-746-3500
Practice Address - Fax:207-746-3516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services