| NPI | 1881839801 |
|---|---|
| Other Name | GRENADA MIDDLE SCHOOL |
| Entity Type | Organization |
| Authorized Contact | KIM D HOLLAND School Nurse 662-226-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MS R854440) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |