Provider Demographics
NPI:1710246384
Name:KNIGHTSEN ELEMENTARY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:KNIGHTSEN ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:WITTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-626-3304
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:KNIGHTSEN
Mailing Address - State:CA
Mailing Address - Zip Code:94548-0265
Mailing Address - Country:US
Mailing Address - Phone:925-626-0073
Mailing Address - Fax:925-625-8766
Practice Address - Street 1:1923 DELTA RD
Practice Address - Street 2:
Practice Address - City:KNIGHTSEN
Practice Address - State:CA
Practice Address - Zip Code:94548
Practice Address - Country:US
Practice Address - Phone:925-626-3304
Practice Address - Fax:925-625-8766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)