Organization
INDEPENDENT SCHOOL DISTRICT NO 2859
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ANN RAITER (ASSISTANT BUSINESS MANAGER)
(320) 864-2486
Entity
Organization
Contact information
Practice address
1621 16TH ST E, GLENCOE, MN 55336-1721
(320) 864-2491
Mailing address
1621 16TH ST E, GLENCOE, MN 55336-1721
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
881490200
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881490200
—
MN
Enumeration date
12/22/2006
Last updated
07/15/2008
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