Provider Demographics
NPI:1659458792
Name:KILLINGLY BOARD OF ED
Entity Type:Organization
Organization Name:KILLINGLY BOARD OF ED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROUWER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-779-6741
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:CT
Mailing Address - Zip Code:06263-0246
Mailing Address - Country:US
Mailing Address - Phone:860-779-6742
Mailing Address - Fax:860-779-1781
Practice Address - Street 1:1599 UPPER MAPLE ST
Practice Address - Street 2:
Practice Address - City:DAYVILLE
Practice Address - State:CT
Practice Address - Zip Code:06241-1543
Practice Address - Country:US
Practice Address - Phone:860-779-6742
Practice Address - Fax:860-779-1781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)