Provider Demographics
NPI:1184994345
Name:SWAN RIVER MONTESSORI CHARTER SCHOOL
Entity type:Organization
Organization Name:SWAN RIVER MONTESSORI CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-271-7926
Mailing Address - Street 1:500 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-8878
Mailing Address - Country:US
Mailing Address - Phone:763-271-7926
Mailing Address - Fax:763-295-0075
Practice Address - Street 1:500 MAPLE ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-8878
Practice Address - Country:US
Practice Address - Phone:763-271-7926
Practice Address - Fax:763-295-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Yes251300000XAgenciesLocal Education Agency (LEA)Group - Single Specialty