Organization Name: | PETAL SCHOOL DISTRICT |
NPI Number: | 1306014592 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES HUTTO (SUPERINTENDENT) |
Mailing Address: | 115 Highway 42 Petal |
State: | MS US |
Postal Code: | 394652808 |
Phone Number: | 6015453002 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 02/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R510955 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |