Organization
INTERMEDIATE DISTRICT 287
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA M KELLER-GAUTSCH (EXEC DIRECTOR OF SPECIAL EDUCATION)
(763) 550-7151
Entity
Organization
Contact information
Practice address
1820 XENIUM LN N, PLYMOUTH, MN 55441-3708
(763) 550-7151
(763) 550-7299
Mailing address
1820 XENIUM LN N, PLYMOUTH, MN 55441-3708
(763) 550-7151
(763) 550-7299
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4839391000
—
MN
Enumeration date
03/14/2007
Last updated
08/22/2020
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