Provider Demographics
NPI:1396930145
Name:DAMARISCOTTA MONTESSORI SCHOOL
Entity type:Organization
Organization Name:DAMARISCOTTA MONTESSORI SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:E
Authorized Official - Last Name:DELORENZO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:207-563-2168
Mailing Address - Street 1:93 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:NOBLEBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04555-9022
Mailing Address - Country:US
Mailing Address - Phone:207-563-2168
Mailing Address - Fax:
Practice Address - Street 1:93 CENTER ST
Practice Address - Street 2:
Practice Address - City:NOBLEBORO
Practice Address - State:ME
Practice Address - Zip Code:04555-9022
Practice Address - Country:US
Practice Address - Phone:207-563-2168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME486879251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME88554201AMedicaid