Provider Demographics
NPI:1922349851
Name:BELLEVILLE BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BELLEVILLE BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VEZZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-450-3500
Mailing Address - Street 1:102 PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1807
Mailing Address - Country:US
Mailing Address - Phone:973-450-3500
Mailing Address - Fax:973-450-3504
Practice Address - Street 1:102 PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-1807
Practice Address - Country:US
Practice Address - Phone:973-450-3500
Practice Address - Fax:973-450-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health