Provider Demographics
NPI:1669796249
Name:DALLAS PLANTATION SCHOOL DEPARTMENT
Entity type:Organization
Organization Name:DALLAS PLANTATION SCHOOL DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-864-3311
Mailing Address - Street 1:43 MENDOLIA RD
Mailing Address - Street 2:
Mailing Address - City:RANGELEY
Mailing Address - State:ME
Mailing Address - Zip Code:04970-4137
Mailing Address - Country:US
Mailing Address - Phone:207-864-3311
Mailing Address - Fax:207-864-2451
Practice Address - Street 1:43 MENDOLIA RD
Practice Address - Street 2:
Practice Address - City:RANGELEY
Practice Address - State:ME
Practice Address - Zip Code:04970-4137
Practice Address - Country:US
Practice Address - Phone:207-864-3311
Practice Address - Fax:207-864-2451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider Agency