Provider Demographics
NPI:1366954737
Name:WOODLAND STAR CHARTER SCHOOL
Entity type:Organization
Organization Name:WOODLAND STAR CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-996-3849
Mailing Address - Street 1:17811 ARNOLD DRIVE
Mailing Address - Street 2:SPECIAL EDUCATION / HOLLY COLANGELO
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-4019
Mailing Address - Country:US
Mailing Address - Phone:707-996-3849
Mailing Address - Fax:
Practice Address - Street 1:17811 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-4019
Practice Address - Country:US
Practice Address - Phone:707-996-3849
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)