Provider Demographics
NPI:1336369628
Name:MULLICA TOWNSHIP SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MULLICA TOWNSHIP SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-561-3868
Mailing Address - Street 1:500 ELWOOD ROAD
Mailing Address - Street 2:PO BOX 318
Mailing Address - City:ELWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08217
Mailing Address - Country:US
Mailing Address - Phone:609-561-3868
Mailing Address - Fax:609-561-7133
Practice Address - Street 1:500 ELWOOD ROAD
Practice Address - Street 2:
Practice Address - City:ELWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08217
Practice Address - Country:US
Practice Address - Phone:609-561-3868
Practice Address - Fax:609-561-7133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3480Medicaid