Provider Demographics
NPI:1780894204
Name:SABATTUS SCHOOL DEPARTMENT
Entity type:Organization
Organization Name:SABATTUS SCHOOL DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-375-4507
Mailing Address - Street 1:971 GARDINER RD
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:ME
Mailing Address - Zip Code:04280-3261
Mailing Address - Country:US
Mailing Address - Phone:207-375-4507
Mailing Address - Fax:207-375-2522
Practice Address - Street 1:BALL PARK ROAD
Practice Address - Street 2:
Practice Address - City:SABATTUS
Practice Address - State:ME
Practice Address - Zip Code:04280
Practice Address - Country:US
Practice Address - Phone:207-375-6961
Practice Address - Fax:207-375-8871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services