Provider Demographics
NPI:1497286819
Name:HANOVER PARK REGIONAL HIGH SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HANOVER PARK REGIONAL HIGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-887-0300
Mailing Address - Street 1:75 MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-2612
Mailing Address - Country:US
Mailing Address - Phone:973-887-0300
Mailing Address - Fax:
Practice Address - Street 1:75 MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-2612
Practice Address - Country:US
Practice Address - Phone:973-887-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)