Organization
GRANT COMMUNITY SCHOOL DISTRICT 110
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT STINES (PRINCIPAL)
(618) 397-2764
Entity
Organization
Contact information
Practice address
10110 OLD LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-2422
(618) 397-2764
(618) 398-5578
Mailing address
10110 OLD LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-2422
(618) 397-2764
(618) 398-5578
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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