Provider Demographics
NPI:1831304484
Name:MAINE SCHOOL ADMINISTRATIVE DISTRICT 36
Entity Type:Organization
Organization Name:MAINE SCHOOL ADMINISTRATIVE DISTRICT 36
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOREAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-897-6722
Mailing Address - Street 1:9 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE FALLS
Mailing Address - State:ME
Mailing Address - Zip Code:04254-1336
Mailing Address - Country:US
Mailing Address - Phone:207-897-6722
Mailing Address - Fax:207-897-2362
Practice Address - Street 1:9 CEDAR ST
Practice Address - Street 2:
Practice Address - City:LIVERMORE FALLS
Practice Address - State:ME
Practice Address - Zip Code:04254-1336
Practice Address - Country:US
Practice Address - Phone:207-897-6722
Practice Address - Fax:207-897-2362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services