Provider Demographics
NPI:1023895794
Name:ADELINE MONTESSORI SCHOOL, INC
Entity type:Organization
Organization Name:ADELINE MONTESSORI SCHOOL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MADUSCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-201-4492
Mailing Address - Street 1:995 S SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-9243
Mailing Address - Country:US
Mailing Address - Phone:262-201-4492
Mailing Address - Fax:
Practice Address - Street 1:995 S SAWYER RD
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-9243
Practice Address - Country:US
Practice Address - Phone:262-201-4492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)