Provider Demographics
NPI:1194933655
Name:TOWN OF WINSLOW
Entity type:Organization
Organization Name:TOWN OF WINSLOW
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRAJEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-859-2313
Mailing Address - Street 1:55 BENTON AVE
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:ME
Mailing Address - Zip Code:04901
Mailing Address - Country:US
Mailing Address - Phone:207-859-2313
Mailing Address - Fax:207-859-2325
Practice Address - Street 1:55 BENTON AVE
Practice Address - Street 2:
Practice Address - City:WINSLOW
Practice Address - State:ME
Practice Address - Zip Code:04901
Practice Address - Country:US
Practice Address - Phone:207-859-2313
Practice Address - Fax:207-859-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME432204000251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432204000Medicaid