NPI | 1265653455 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE CHILDRESS Superintendent 662-287-2425 |
Organization Subpart ? | No |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: MS R857078) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-08-22 |