Organization
PENN HARRIS MADISON SCHOOL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAM VON RAHL (EXECUTIVE DIRECTOR JOINT SERVICES)
(574) 254-4528
Entity
Organization
Contact information
Practice address
1402 S MAIN ST, MISHAWAKA, IN 46544-5241
(574) 254-4500
(574) 254-4582
Mailing address
55900 BITTERSWEET RD, MISHAWAKA, IN 46545-7717
(574) 259-7941
(574) 258-9547
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
10047260A
IN
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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