Provider Demographics
NPI:1598882920
Name:TOWN OF GRAFTON
Entity Type:Organization
Organization Name:TOWN OF GRAFTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-986-1785
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01519-0540
Mailing Address - Country:US
Mailing Address - Phone:781-986-1785
Mailing Address - Fax:781-961-6999
Practice Address - Street 1:30 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01519-1511
Practice Address - Country:US
Practice Address - Phone:781-986-1785
Practice Address - Fax:781-961-6999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1953222Medicaid