Provider Demographics
NPI:1619178613
Name:SCHOOL ADMINISTRATIVE DISTRICT 31
Entity Type:Organization
Organization Name:SCHOOL ADMINISTRATIVE DISTRICT 31
Other - Org Name:MSAD #31
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF ED. RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:BONNET
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-732-8307
Mailing Address - Street 1:23 CROSS ST
Mailing Address - Street 2:MSAD #31 CENTRAL OFFICE
Mailing Address - City:HOWLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04448
Mailing Address - Country:US
Mailing Address - Phone:207-732-8307
Mailing Address - Fax:
Practice Address - Street 1:23 CROSS ST
Practice Address - Street 2:MSAD #31 CENTRAL OFFICE
Practice Address - City:HOWLAND
Practice Address - State:ME
Practice Address - Zip Code:04448
Practice Address - Country:US
Practice Address - Phone:207-732-8307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME103240001Medicare ID - Type UnspecifiedDAY TREATMENT