Provider Demographics
NPI:1669511127
Name:QUESTA INDEPENDENT SCHOOLS
Entity Type:Organization
Organization Name:QUESTA INDEPENDENT SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:GALUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-586-1604
Mailing Address - Street 1:PO BOX 440
Mailing Address - Street 2:1 MILE NORTH HWY 522
Mailing Address - City:QUESTA
Mailing Address - State:NM
Mailing Address - Zip Code:87556-0440
Mailing Address - Country:US
Mailing Address - Phone:505-586-1604
Mailing Address - Fax:
Practice Address - Street 1:527 SAGEBRUSH RD
Practice Address - Street 2:
Practice Address - City:QUESTA
Practice Address - State:NM
Practice Address - Zip Code:87556
Practice Address - Country:US
Practice Address - Phone:505-586-1604
Practice Address - Fax:505-586-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2007-09-11
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-09-11
Provider Licenses
StateLicense IDTaxonomies
NMT6536251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMT6536OtherSPECIAL ED. DIRECTOR