Provider Demographics
NPI:1780895656
Name:CASA GRANDE ELEMENTARY SCHOOL DISTRICT #4
Entity type:Organization
Organization Name:CASA GRANDE ELEMENTARY SCHOOL DISTRICT #4
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASCON
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:520-876-3244
Mailing Address - Street 1:220 W. KORTSEN ROAD
Mailing Address - Street 2:SPECIAL EDUCATION OFFICE
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85222-3337
Mailing Address - Country:US
Mailing Address - Phone:520-876-3614
Mailing Address - Fax:
Practice Address - Street 1:220 W KORTSEN RD
Practice Address - Street 2:SPECIAL EDUCATION OFFICE
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222-5910
Practice Address - Country:US
Practice Address - Phone:520-876-3244
Practice Address - Fax:520-766-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)