Organization
HOLLANDALE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE AMOS (DISTRICT SUPERINTENDENT)
(662) 827-2276
Entity
Organization
Contact information
Practice address
502 W. WASHINTON AVE., HOLLANDALE, MS 38748-0502
(662) 827-5153
(662) 827-5559
Mailing address
101 WEST WASHINGTON, P.O. BOX 128, HOLLANDALE, MS 38748-0128
(662) 827-2276
(662) 827-5261
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R855644
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015009
—
MS
Enumeration date
05/09/2007
Last updated
08/22/2020
Update your record
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