Provider Demographics
NPI:1689758260
Name:TOWN OF GRISWOLD BOARD OF EDUCATION
Entity Type:Organization
Organization Name:TOWN OF GRISWOLD BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:OSGA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:860-376-7600
Mailing Address - Street 1:267 SLATER AVE
Mailing Address - Street 2:
Mailing Address - City:GRISWOLD
Mailing Address - State:CT
Mailing Address - Zip Code:06351-2533
Mailing Address - Country:US
Mailing Address - Phone:860-376-7600
Mailing Address - Fax:860-376-7604
Practice Address - Street 1:267 SLATER AVE
Practice Address - Street 2:
Practice Address - City:GRISWOLD
Practice Address - State:CT
Practice Address - Zip Code:06351-2533
Practice Address - Country:US
Practice Address - Phone:860-376-7600
Practice Address - Fax:860-376-7604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)