Provider Demographics
NPI:1730398868
Name:MOUNT HOLLY TOWNSHIP PUBLIC SCHOOLS
Entity type:Organization
Organization Name:MOUNT HOLLY TOWNSHIP PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPAVENTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-267-7108
Mailing Address - Street 1:330 LEVIS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-1332
Mailing Address - Country:US
Mailing Address - Phone:609-267-7108
Mailing Address - Fax:609-702-9082
Practice Address - Street 1:333 LEVIS DR
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-1331
Practice Address - Country:US
Practice Address - Phone:609-267-7200
Practice Address - Fax:609-267-2437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6684301Medicaid