Provider Demographics
NPI:1932242575
Name:GLENN COUNTY JOINT
Entity Type:Organization
Organization Name:GLENN COUNTY JOINT
Other - Org Name:GLENN COUNTY OFFICE OF EDUCATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ASST. SUPERINTENDENT,SELPA DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:APPLEGATE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:530-934-6575
Mailing Address - Street 1:311 S VILLA AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-2959
Mailing Address - Country:US
Mailing Address - Phone:530-934-6575
Mailing Address - Fax:530-934-6576
Practice Address - Street 1:311 S VILLA AVE
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2959
Practice Address - Country:US
Practice Address - Phone:530-934-6575
Practice Address - Fax:530-934-6575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASS1110116251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)