Provider Demographics
NPI:1831426006
Name:TOWN OF WILLIMANTIC
Entity type:Organization
Organization Name:TOWN OF WILLIMANTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:207-695-3708
Mailing Address - Street 1:144 PRITHAM AVENUE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04441-0000
Mailing Address - Country:US
Mailing Address - Phone:207-695-3708
Mailing Address - Fax:207-695-3709
Practice Address - Street 1:144 PRITHAM AVENUE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:ME
Practice Address - Zip Code:04441-0000
Practice Address - Country:US
Practice Address - Phone:207-695-3708
Practice Address - Fax:207-695-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)