Provider Demographics
NPI:1508315425
Name:BROOKWOOD SCHOOL JT SCHOOL DIST 2
Entity Type:Organization
Organization Name:BROOKWOOD SCHOOL JT SCHOOL DIST 2
Other - Org Name:GENOA CITY JT 2 SCHOOL DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEYOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-279-1053
Mailing Address - Street 1:1020 HUNTERS RIDGE DR
Mailing Address - Street 2:PO BOX 250
Mailing Address - City:GENOA CITY
Mailing Address - State:WI
Mailing Address - Zip Code:53128-2508
Mailing Address - Country:US
Mailing Address - Phone:262-279-1051
Mailing Address - Fax:262-279-1052
Practice Address - Street 1:1020 HUNTERS RIDGE DR
Practice Address - Street 2:
Practice Address - City:GENOA CITY
Practice Address - State:WI
Practice Address - Zip Code:53128-2508
Practice Address - Country:US
Practice Address - Phone:262-279-1051
Practice Address - Fax:262-279-1052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)