Organization
SUPERINTENDENT OF BOONEVILLE HIGH SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA HANEY (LEA SUPERVISOR)
(479) 438-0427
Entity
Organization
Contact information
Practice address
381 W 7TH ST, BOONEVILLE, AR 72927-3101
(479) 675-3504
(479) 675-3186
Mailing address
381 W 7TH ST, BOONEVILLE, AR 72927-3101
(479) 675-3504
(479) 675-3186
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159073791
—
AR
01
—
162749732
PERSONAL CARE
AR
01
—
162892761
VISION AND HEARING
AR
01
—
234902743
THERAPIES
AR
Enumeration date
01/11/2007
Last updated
04/07/2020
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