Provider Demographics
NPI:1952641458
Name:RANCOCAS VALLEY REGIONAL HIGH SCHOOL
Entity Type:Organization
Organization Name:RANCOCAS VALLEY REGIONAL HIGH SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIOVANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-267-0830
Mailing Address - Street 1:520 JACKSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1239
Mailing Address - Country:US
Mailing Address - Phone:609-267-0830
Mailing Address - Fax:609-265-9204
Practice Address - Street 1:520 JACKSONVILLE RD
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1239
Practice Address - Country:US
Practice Address - Phone:609-267-0830
Practice Address - Fax:609-265-9204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ05-4320251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)