Provider Demographics
NPI:1427194539
Name:BOLTON BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BOLTON BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-643-1569
Mailing Address - Street 1:108 NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:CT
Mailing Address - Zip Code:06043-7431
Mailing Address - Country:US
Mailing Address - Phone:860-643-1569
Mailing Address - Fax:860-647-8452
Practice Address - Street 1:108 NOTCH RD
Practice Address - Street 2:
Practice Address - City:BOLTON
Practice Address - State:CT
Practice Address - Zip Code:06043-7431
Practice Address - Country:US
Practice Address - Phone:860-643-1569
Practice Address - Fax:860-647-8452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)