Organization
GRACE JT SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BROGAN PHD (SUPERINTENDENT)
(208) 425-9161
Entity
Organization
Contact information
Practice address
704 SOUTH HWY 30, GRACE, ID 83241
(208) 425-9161
(208) 425-3809
Mailing address
PO BOX 328, 704 SHOUT HWY 30, GRACE, ID 83241
(208) 425-3731
(208) 425-3063
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08051088
—
ID
Enumeration date
01/19/2007
Last updated
08/13/2008
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