Provider Demographics
NPI:1144482316
Name:DELAVAN DARIEN SCHOOL
Entity type:Organization
Organization Name:DELAVAN DARIEN SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:OVERTURF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-728-2642
Mailing Address - Street 1:324 BELOIT ST
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-1606
Mailing Address - Country:US
Mailing Address - Phone:262-728-2642
Mailing Address - Fax:262-728-5954
Practice Address - Street 1:324 BELOIT ST
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-1606
Practice Address - Country:US
Practice Address - Phone:262-728-2642
Practice Address - Fax:262-728-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)