Provider Demographics
NPI:1144938663
Name:TILLER SCHOOL OF CARTERET COUNTY
Entity type:Organization
Organization Name:TILLER SCHOOL OF CARTERET COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:252-728-1995
Mailing Address - Street 1:1950 LIVE OAK ST
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-7907
Mailing Address - Country:US
Mailing Address - Phone:252-728-1995
Mailing Address - Fax:
Practice Address - Street 1:1950 LIVE OAK ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-7907
Practice Address - Country:US
Practice Address - Phone:252-728-1995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherPUBLIC SCHOOL UNIT