Provider Demographics
NPI:1609337781
Name:PASCACK VALLEY REGIONAL HIGH SCHOOL BOARD OF EDUCATION
Entity Type:Organization
Organization Name:PASCACK VALLEY REGIONAL HIGH SCHOOL BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-357-7009
Mailing Address - Street 1:28 W GRAND AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-2100
Mailing Address - Country:US
Mailing Address - Phone:201-358-7009
Mailing Address - Fax:
Practice Address - Street 1:28 W GRAND AVE STE 2
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-2100
Practice Address - Country:US
Practice Address - Phone:201-358-7009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)