Provider Demographics
NPI:1720112527
Name:TOWN OF AVON
Entity type:Organization
Organization Name:TOWN OF AVON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIESWYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-588-0230
Mailing Address - Street 1:198 SPRING ST
Mailing Address - Street 2:MICHALE LALIBERTE
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-2649
Mailing Address - Country:US
Mailing Address - Phone:781-878-6056
Mailing Address - Fax:
Practice Address - Street 1:12 PATRICK CLARK DRIVE
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322
Practice Address - Country:US
Practice Address - Phone:508-588-0230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1953958Medicaid