Provider Demographics
NPI:1992838056
Name:REGIONAL SCHOOL DISTRICT 17
Entity Type:Organization
Organization Name:REGIONAL SCHOOL DISTRICT 17
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-345-4534
Mailing Address - Street 1:57 LITTLE CITY RD
Mailing Address - Street 2:
Mailing Address - City:HIGGANUM
Mailing Address - State:CT
Mailing Address - Zip Code:06441-4323
Mailing Address - Country:US
Mailing Address - Phone:860-345-4244
Mailing Address - Fax:860-345-3051
Practice Address - Street 1:57 LITTLE CITY RD
Practice Address - Street 2:
Practice Address - City:HIGGANUM
Practice Address - State:CT
Practice Address - Zip Code:06441-4323
Practice Address - Country:US
Practice Address - Phone:860-345-4244
Practice Address - Fax:860-345-3051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)