Organization
NORTH BOLIVAR SCHOOL DISTRICT
Active
Other names
EPSDT SCREENING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE KING (SUPERINTENDENT)
(662) 398-4000
Entity
Organization
Contact information
Practice address
615 SCHOOL STREET, DUNCAN, MS 38740
(662) 398-4060
(662) 395-2247
Mailing address
701 LAUDERDALE STREET, SHELBY, MS 38774
(662) 398-4000
(662) 398-7884
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
R856346
MS
Other
Enumeration date
01/04/2008
Last updated
03/21/2013
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