Organization Name: | POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT |
NPI Number: | 1740495373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUISE SMITH (SUPPORT STAFF SPECIALIST) |
Mailing Address: | 804 S Julia St Poplarville |
State: | MS US |
Postal Code: | 394703017 |
Phone Number: | 6017958477 |
Fax Number: | 6017950712 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | R859077 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |