Provider Demographics
NPI:1962562975
Name:ISD 15 ST. FRANCIS PUBLIC SCHOOLS
Entity type:Organization
Organization Name:ISD 15 ST. FRANCIS PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-753-7090
Mailing Address - Street 1:4115 AMBASSADOR BLVD.
Mailing Address - Street 2:
Mailing Address - City:ST. FRANCIS
Mailing Address - State:MN
Mailing Address - Zip Code:55070
Mailing Address - Country:US
Mailing Address - Phone:763-753-7090
Mailing Address - Fax:763-753-6876
Practice Address - Street 1:4115 AMBASSADOR BLVD NW
Practice Address - Street 2:
Practice Address - City:ST. FRANCIS
Practice Address - State:MN
Practice Address - Zip Code:55040
Practice Address - Country:US
Practice Address - Phone:763-753-7090
Practice Address - Fax:763-753-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)