Provider Demographics
NPI:1023233582
Name:PULASKI COMMUNITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:PULASKI COMMUNITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:GIANGRECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-822-6021
Mailing Address - Street 1:143 W GREEN BAY ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:WI
Mailing Address - Zip Code:54162-9350
Mailing Address - Country:US
Mailing Address - Phone:920-822-6021
Mailing Address - Fax:920-822-6023
Practice Address - Street 1:143 W GREEN BAY ST
Practice Address - Street 2:
Practice Address - City:PULASKI
Practice Address - State:WI
Practice Address - Zip Code:54162-9350
Practice Address - Country:US
Practice Address - Phone:920-822-6021
Practice Address - Fax:920-822-6023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI44213400Medicare ID - Type UnspecifiedSCHOOL BASED SERVICES