# HAZLEHURST ELEMENTARY SCHOOL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619192770
- **Authorized official:** DR. BILLY BROEN (PRINCIPAL)
- **Authorized official phone:** (601) 894-3274

## Contact information

- **Practice address:** 136 SCHOOL DR, HAZLEHURST, MS 39083-3550
- **Practice address phone:** (601) 894-3274
- **Practice address fax:** (601) 894-3960
- **Mailing address:** 136 SCHOOL DR, HAZLEHURST, MS 39083-3550
- **Mailing address phone:** (601) 894-3274
- **Mailing address fax:** (601) 894-3960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WS0200X | School Registered Nurse | R742584 | MS | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 08/22/2020