Provider Demographics
NPI:1467676114
Name:MERCER COUNTY SPECIAL SERVICES SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MERCER COUNTY SPECIAL SERVICES SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANNMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICCI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-631-2132
Mailing Address - Street 1:1020 OLD TRENTON ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1020 OLD TRENTON RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1230
Practice Address - Country:US
Practice Address - Phone:609-631-2132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ251300000XOtherTAXONOMY NUMBER
NJ6810608Medicaid