Provider Demographics
NPI:1891981569
Name:PLANADA ELEMENTARY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PLANADA ELEMENTARY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOURENCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-382-0756
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:161 S. PLAINSBURG ROAD
Mailing Address - City:PLANADA
Mailing Address - State:CA
Mailing Address - Zip Code:95365-0236
Mailing Address - Country:US
Mailing Address - Phone:209-382-0756
Mailing Address - Fax:209-382-1750
Practice Address - Street 1:161 SO. PLAINSBURG ROAD
Practice Address - Street 2:
Practice Address - City:PLANADA
Practice Address - State:CA
Practice Address - Zip Code:95365-0236
Practice Address - Country:US
Practice Address - Phone:209-382-0756
Practice Address - Fax:209-382-1750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)