Provider Demographics
NPI:1720332729
Name:SCHOOLCRAFT LEARNING COMMUNITY
Entity Type:Organization
Organization Name:SCHOOLCRAFT LEARNING COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:POULTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-586-3284
Mailing Address - Street 1:PO BOX 1685
Mailing Address - Street 2:
Mailing Address - City:BEMIDJI
Mailing Address - State:MN
Mailing Address - Zip Code:56619-1685
Mailing Address - Country:US
Mailing Address - Phone:218-586-3284
Mailing Address - Fax:
Practice Address - Street 1:8659 THORSONVEIEN RD
Practice Address - Street 2:
Practice Address - City:BEMIDJI
Practice Address - State:MN
Practice Address - Zip Code:56601-9556
Practice Address - Country:US
Practice Address - Phone:218-586-3284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)