Provider Demographics
NPI:1760698815
Name:SOUTH RIVER BOARD OF EDUCATION
Entity Type:Organization
Organization Name:SOUTH RIVER BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHALLIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-613-4073
Mailing Address - Street 1:81 JOHNSON PL
Mailing Address - Street 2:
Mailing Address - City:SOUTH RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08882-2132
Mailing Address - Country:US
Mailing Address - Phone:732-613-4073
Mailing Address - Fax:732-613-6016
Practice Address - Street 1:81 JOHNSON PL
Practice Address - Street 2:
Practice Address - City:SOUTH RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08882-2132
Practice Address - Country:US
Practice Address - Phone:732-613-4073
Practice Address - Fax:732-613-6016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)