Provider Demographics
NPI:1659592871
Name:MSAD #31
Entity Type:Organization
Organization Name:MSAD #31
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-742-3112
Mailing Address - Street 1:23 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:HOWLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04448-3711
Mailing Address - Country:US
Mailing Address - Phone:207-732-3112
Mailing Address - Fax:
Practice Address - Street 1:23 CROSS ST
Practice Address - Street 2:
Practice Address - City:HOWLAND
Practice Address - State:ME
Practice Address - Zip Code:04448-3711
Practice Address - Country:US
Practice Address - Phone:207-732-3112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251300000XAgenciesLocal Education Agency (LEA)
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services